Neumann Monson Campaign

United is the Way
Make Your Donation October 15 - October 30

Questions? Contact...
Jamie Zahasky
jzahasky@neumannmonson.com
319-338-7878

Pledge Card

Office Location

First Name

Middle Name

Last Name

Phone

Street Address

City

State

Zip Code

Preferred Donation Method

Payroll Deduction

Check

Cash

Credit Card / Google Pay / Apple Pay / Debit Card

Payroll Deduction

Contribution Amount Per Pay Period

$10

$20

$25

$50

Other…

Enter Amount

Number of Pay Periods for Donation

One-Time January 2027

12 pay periods in 2027

Check Donation

$10

$20

$25

$50

Other…

Enter Amount

Please make check payable to United Way of Johnson and Washington Counties.

Cash Donation

Amount of Cash Donation

TOTAL ANNUAL DONATION:

TOTAL: $ 0

Credit Card

Amount

What type of donation is this?

One-Time

Recurring

Recurring Frequency

Monthly

Quarterly

Please CHECK if you are willing to cover the 4% credit card processing fee

Confirm Your Information

I want my gift to remain anonymous in all recognition materials.

I am retired or retiring this year.

I am a loyal donor who has contributed for 25 years +

Combine my gift with - Spouse/Partner Name:

Spouse/Partner Employer

Designations

Your Impact (OPTIONAL)

Improve Lives with United Way - Make the greatest impact in our community

Youth Opportunity - Education, mentorship, helping youth meet their full potential

Financial Security - Building financial stability for every generation

Healthy Community - Access to physical, mental, and dental healthcare

Community Resiliency - Disaster Response & Recovery Fund

A United Way partner agency or tax exempt 501c3 organization

United Way Initiatives

A Minimum of $50 is required for all United Way Partner Designations.

Please direct

Min. $50/year; Donations which do not make the minimum requirement will be directed to UWJWC.

A Minimum of $50 is required for all Agency Designations.

Please direct

Min. $50/year; Donations which do not make the minimum requirement will be directed to UWJWC.

To-Name of Organization:

To view a list of UWJWC Partner Agencies, click HERE

Organization Address:

Agreement

My signature below, confirms my information as stated above.

Signature

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Payment Details

About United Way

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Neumann Monson Campaign

United is the WayMake Your Donation October 15 - October 30

To view a list of UWJWC Partner Agencies, click HERE

About United Way

United is the Way
Make Your Donation October 15 - October 30