Join the Power of Women - Mile High United Way

Mile High United Way Women’s Leadership Pledge Form
Name
Home Email Address
Home Address
Work Email Address
City State ZIP
Employer
Home Phone Number
Work Phone Number
Cell Number
Birth Year
EXISTING MILE HIGH UNITED WAY LEADERSHIP DONORS AND WORKPLACE CAMPAIGN DONORS
NEW MILE HIGH UNITED WAY LEADERSHIP DONORS
$ ______________ is my 2008 Leadership donation to Mile High United Way.
My contribution to Mile High United Way places me in the following Leadership Giving Level:
TRANSFORMATIONAL HOUSING
Tocqueville Society ($10,000 and above)
Gold Level ($5,000 to $9,999)
Mile High United Way will not disclose, sell, share, trade or rent personal data.
I currently donate to Mile High United Way and would like to increase my donation to reach the leadership level.
Please contact me.
$ ______________ I currently give at the Leadership level ($1,000 or more) on my own or through my workplace
($104.00) campaign. I’d like to join the Women’s 104 Leadership Circle by donating an additional $104.
Silver Level ($2,500 to $4,999)
Bronze Level ($1,000 to $2,499)
$ ______________ Yes, I’d like to join the Women’s 104 Leadership Circle by donating an additional $104 with my
($104.00) Mile High United Way leadership gift. By doing so, I ensure funding for programs provided to
support the residents of Mile High United Way’s transformational housing programs.
$ ______________ Please accept my one-time donation for Mile High United Way’s Transformational Housing programs.
PAYMENT METHOD: Cash, Check or Credit Card
$ ______________ Total 2008 donation to Mile High United Way Women’s Leadership.
Enclosed is cash or a check. Check # ______________ (Please make check payable to Mile High United Way.)
Please charge my credit card for: $ ________________ on ____________ Once Monthly Quarterly
My card type is: MC VISA DISC DC AMEX (Please circle one)
DATE
My card number is:
Expiration Date: ___________
Signature ___________________________________________________________ Date ____________________
I wish to remain anonymous.
Join the conversation. Visit Mile High United Way’s Blog to learn more about our
initiatives and impact, and tell us what you think. http://blog.unitedwaydenver.org.
We can do more together. SM 2505 18th Street, Denver, CO 80211