Donations Welcome!

Thank you for your continued support! Your contribution is important to our community!

Contribution Amount *

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Total Amount

I want to contribute this amount every for installments

Your recurring contribution will be processed automatically. You can specify the number of installments, or you can leave the number of installments blank if you want to make an open-ended commitment. In either case, you can choose to cancel at any time. You will receive an email receipt for each recurring contribution.

Email Address *

In Honor of In Memory of

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Individual Prefix

First Name *

Last Name *

Email Address

Donor Information

First Name *

Last Name *

Company/Affiliation

Street Address

City

State

Postal Code

Phone (Mobile) *

Credit Card Information

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Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

Donation Designation

Please select the United Way of Tri-County program that you would like to support

Programs *

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