Thank You For Helping Build A Better
Community In Clatsop County
United Way of Clatsop County
P.O. Box 775 - Astoria, OR 97103-0775
email: uwcc@pacifier.com - (503) 325-1961

What you give is up to you.
Your gift is a decision you, and you alone, can make based on income, family obligations and personal concern for others. Your one pledge will take care of voluntary health, welfare, rehabilitation, and youth.
 

NAME OF CONTRIBUTOR__________________________

ADDRESS______________________________________

CITY / STATE__________________ ZIP CODE_________

SIGNATURE___________________ PHONE___________


TOTAL GIFT $_______________

PAID NOW $________________

BALANCE DUE $____________

GIFT ATTACHED  (Cash or check payable to United Way)

THANKS FOR SHARING!


IF YOU CONTRIBUTE $25.00 OR MORE, YOU MAY DESIGNATE THENON-PROFIT ORGANIZATION TO RECEIVE YOU DONATION

Name of Organization__________________________________________

Address_____________________________________________________

City/State/Zip_________________________________________________

CHARGE TO VISA/MASTERCARD

Card no._____________________________

Exp. Date____________________________

Signature____________________________

Date________________________________