Navajo United Way, Inc. - Window Rock, Arizona   Navajo United Way, Inc. Pledge Form

Your contribution is tax-deductible.
A one-time contribution of $250 or more will be recognized
 by correspondence from Navajo United Way, Inc. 

Name (First, Last)
Employer's Name
Mailing Address
City, State, Zip Code
Telephone Number Business or Home:
Email address
Social Security No.
(optional)
 

    Check One of the Many Giving Options:

  Undesignated Contribution
I would like the Navajo United Way Allocations Committee to direct my donation where it will best match the needs of my community.
  Designated Contribution
I would like my contribution to be directed toward the following service areas.
%   Emergency Assistance
%   Elderly/Aged Services
%   Family Support & Counseling
%   Youth Education & Recreation
%   Health & Rehabilitation
  Specified Contribution
I would like some/all my contributions to be directed toward the following United Way or health/human service agency. An Agency must have 501(c)(3) tax exempt status and the correct name/address provided below.
%   Name
Agency Address  
  Navajo United Way, Inc. Endowment Fund
%   to Facility Site Development
DONOR OPTION AND UNITED WAY DISCLAIMER
If you wish to contribute to an agency that is not a Navajo United Way, Inc. affiliate, the give must be at least $25 annually. Navajo United Way, Inc. is accountable to forward contributions to the agency only. Amounts greater than $1,000 in lump sum amount are encouraged to be made directly to agency. Commitment amounts should be indicated as such and made directly for Navajo United Way, Inc. operations.

    Choose a Payment Method

Direct Payment by Check   Please make checks payable to Navajo United Way, Inc.
$ Amount paid now     $ Balance Due
# Check Number now
Payroll Deduction   I authorize my employer to deduct my pledge as follows:
$ per pay period for periods for a total of $
Employer Name:
Your Signature:  
Soc.Sec.# (optional)    

  Check here if you do not want your name and address released to the organization(s) you have designated.

Please CLICK HERE to print the completed pledge form. Then mail to Navajo United Way, Inc. along with your direct payment check or payroll authorization.

Thank You from the Navajo United Way, Inc.
Navajo United Way, Inc.
PO Box 309 - Window Rock AZ 86515
(928) 871-6661 - fax (928) 871-6663
navajoway@frontiernet.net

Ways to Give . Community . Grants . About Us . Resources . Contact Us . Site Index . Home
© 2001-2002 by Navajo United Way, Inc., Window Rock, Arizona. All rights reserved.
Designed by Mt. Taylor Enterprises