* New GF MAIN Donation Form with new fields

Donation Option*
- Personal
- Corporate
- Foundation
Donation Type*
- One Time
- Monthly
- In honour
Donation Amount*
- $25
- $75
- $100
- $125
- $175
- Other
Type of tribute gift*
This gift is in recognition or in memory of someone.
Honoree Name*
Donation Amount*
- $125
- $175
- $500
- $1250
- $1750
- Other
Donation Amount*
- $1250
- $1750
- $2000
- $3250
- $4750
- Other
Custom Donation Amount*
Donation Total
$ 0.00 CAD
Hidden
Corporate Donation Type
Hidden
Foundation Donation Type
Hidden
Tribute Donation Type
Workplace Donation*
My company or organization runs a United Way campaign. I would like my donation included in that campaign total. I understand my donation will be processed and handled in the same way as if I gave through my workplace.
- No, this is a personal donation
- Yes, I would like my donation included in that campaign total
Options*
Text describing how direct gift to the community fund allows United Way to use it where it's needed most.
- I want my gift to go to the Community Fund
- I want my gift targeted to one of United Way's service areas
Designation
I would like to target my gift to a United Way Service area.

Prefix
First Name*
Last Name*
Email*
Phone*
Address*
Address City Province / State Postal Code / Zip Code Country
I would like to be recognized under a different or joint name
I am interested in learning more about arranging a legacy gift for United Way in my will or estate plan.
Yes
Workplace Name*
Workplace Address*
Address City Province Postal Code
Foundation Name*
Foundation Address*
Address City Province Postal Code
Workplace Name*
Subscribe to further communication with United Way
Yes

Workplace Name*

Foundation Name*

Title

First Name*

Last Name*

Email*

Phone

Address*

Street Address City Province/State Postal Code/Zip Country

Workplace Address*

Street Address City Province/State Postal Code/Zip Country

Foundation Address*

Street Address City Province/State Postal Code/Zip Country