UCSC Payroll Deduction - 24 Pay Periods

Thank you for your interest in making lasting solutions with your contribution to United Way of Santa Cruz County.

Questions? Please contact Fiona Weigant.

Payroll Deduction Option

($5 per 24 pay periods) - $ 120.00

($10 per 24 pay periods) - $ 240.00

($15 per 24 pay periods) - $ 360.00

($20 per 24 pay periods) - $ 480.00

($100 per 24 pay periods) - $ 2,400.00

- none -

Other Amount

Enter the annual amount of your contribution in this field. For example, enter $480 if you want to donate $20 x 24 pay periods.

Amount

Workplace Campaign Information

First Name *

Last Name *

Email *

Street Address *

(home address preferred)

City *

State *

Postal Code

Phone

Donor Designation *

You may qualify for United Way affinity groups based on your annual gift.

Affinity Groups

Emerging Leaders Circle Woman in Philanthropy

Payment Options

[x] This is a Payroll Deduction