2009 Pledge Card
Name: Mr./Mrs./Ms./Dr._____________________________________________________________________________________________
Address: ___________________________________________________________________________________________________________
Please show exactly how you would like your name(s) to be listed. You may combine your gift with your spouse.
____ I qualify as a leader giver.
____ Builder $250 - $499
____ Beacon $2500 - $4999
____ List my name in the leadership materials.
____ Cornerstone $500 - $999
____ Tower $5000 - $9999
____ I wish to remain anonymous.
____ Pillar $1000 - $2499
____ $10,000 and up
1. Check $_____________ (Make payable to United Way)
2. Cash $______________
3. Bill Me $____________ monthly $___________qrtlrly
4. EFT $____________ monthly $___________qrtlrly
5. Credit Card $_____________ (Billing address required)
CC# _____________________________________________
Expiration Date ____/____/____
Signature ________________________________________
MY TOTAL PLEDGE
To Help Improve Lives
in Ashland County.
__________________________
Print this page and mail to:
United Way of Ashland County Ohio
132 W. Main Street/Lower Level
Ashland, Ohio 44805
419.281.5551 • Fax: 419.281.7622
