Give Step 1 of 3 33% CompanyThis field is for validation purposes and should be left unchanged.Payment Type One-Time Monthly Donation Amount(Required) $25 $50 $100 $250 $500 $1,000 Other Amount Other AmountPlease enter an amount Total Monthly Donation Acknowledgement(Required) I acknowledge that the total above is for this monthly recurring donation.(Required) Name(Required) First Name Last Name Email(Required) Enter Email Confirm Email Address(Required) Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required) Direct my Donation to:United Way of the Greater Lehigh ValleyEducationHealthy AgingCommunity StabilityMental HealthWomen UnitedOtherOther DesignationWhere would you like to direct your donation?Does your workplace run a United Way campaign?NoYesI'm not sureCompany Name:Note or commentPayment MethodPayPal Checkout American ExpressDiscoverMasterCardVisaMaestroSupported Credit Cards: American Express, Discover, MasterCard, Visa, Maestro Card Number Expiration Date Security Code Cardholder Name Consent Donor hereby approves the payment of the charitable donation and/or purchase to United Way of the Greater Lehigh Valley and in the amount set forth herein. JOIN A GIVING SOCIETYGET CONNECTED PLANNED GIVING AND ENDOWMENTlearn more Mail, Text or PhoneLEARN MORE STOCK, IRA, WIRE TRANSFERLEARN MORE
