Workplace Pledge Form

WORKPLACE PLEDGE FORM

Payroll Deduction
$
$0
Check Donation
$

*Please make out all checks to United Way of Hernando County and mail to 4028 Commercial Way, Spring Hill, FL 34606. 

Cash Donation
$

*Please mail all cash donations to United Way of Hernando County at 4028 Commercial Way, Spring Hill, FL 34606. 

Credit / Debit Card Donors:

To complete your donation by credit or debit card - please click here.
 

Your Name
Your Contact Information
Donation Focus Areas
Invest My Donation In...
Agreement
My signature below, confirms my payroll deduction request as stated above.

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