Donate | Greater Longview United Way

My Contact Information

First Name

Last Name

Home Address

City

State

Zip Code

Birth Date

Email Address

Work Phone

Cell Phone

Please check all that apply.

I would like to learn more about adding GLUW to my will.

I would like to be contacted about volunteer opportunities with GLUW and GLUW partner agencies.

Employer Information

Is your pledge associated with a workplace campaign?

Yes

Please provide your company's name so your pledge can be included in your workplace campaign's total.

Donation Method

Preferred Donation Method

Check

Credit/Debit Card

Check Donation

Amount of Check

Please make checks payable to Greater Longview United Way or GLUW. Checks can be mailed to PO Box 411 Longview, TX 75606.

Cash Donation

Amount of Cash

Please give your cash donation to your Campaign Coordinator.

Credit/ Debit Card Donation

Select One

One Time Donation

Monthly Recurring Donation

Amount of your One Time Donation

Amount Donated Each Month

After completing this form you will be redirected to our payment page, hosted by GiveButter, where you will be able to process your transaction in a secured environment.

Please be sure to enter the same values that you have entered on this form. Thank you!

Total Annual Contribution

Total Donation $0

My Designation

Your pledge will automatically be invested in community agencies as directed by trained volunteers unless you select to designate. Only Greater Longview United Way funded agencies are eligible for designation and a minimum of $50 is required. Designations that do not meet these requirements will be allocated to the general fund.

Would you like to designate a GLUW agency?

Yes

Total Designation Amount

Agency Name

My Recognition

Are you eligible for recognition? If your individual donation or combined gift with your spouse totals $1,000 or more, you are considered a Leadership donor and are eligible to become a member of the Longview Leadership Society. If you have donated to any United Way for 10 years or more you are a Loyal Contributor.

Please select all that apply.

Longview Leadership Society

Loyal Contributor

I wish to remain anonymous.

I agree to public recognition. Please list my and/or my spouse's name as follows:

I would like to receive the Longview Leadership award to display.

In Honor or Memory of Donation

You can dedicate your pledge to honoring or preserving the memory of a loved one. We will send an acknowledgment to your loved one or to one of their family members.

Would you like to dedicate your pledge?

Yes

In Memory of

In Honor of

Who would you like us to send the acknowledgement of your pledge to?

First Name

Last Name

Address

City

State

Zip Code

Agreement

My signature below confirms my pledge as stated above.

No goods or services were provided in exchange for this contribution. Your contribution is tax-deductible as allowed by law. Please keep a copy of this form for your tax records. You will also need a copy of your pay stub, W-2, or other employer document showing the amount withheld and paid to a charitable organization.

Signature