Pledge Card -Mental Health Resources

Payroll Deduction

Contribution Amount Per Pay Period

$5

$10

$20

$25

$50

Other…

Please enter the NUMBER only $

Number of Pay Periods for Donation

26 pay periods

Check Donation

Amount of Check $

Make checks payable to United Way of Eastern New Mexico. Please give the check to your Campaign Coordinator within 24 hours of this pledge.

Credit Card Donation

Amount of Gift $

Total Annual Contribution

TOTAL: $ 0

Donation Details

Designation Options

United Way Community Impact Fund

211 Info Referral Line

Keys YA Homeless Program

Long-term housing & lifeskills for Young Adults 18-24 yo who are Unhoused

Game Changer Fund

Safe-at-Home

Imagination Library

No Worries Walls

Reality Check Day

Mark all that apply

I'm interested in being a board member

I wish to remain anonymous

Agreement

My signature below, confirms my pledge as stated above.

Signature

Workplace Pledge Card - Mental Health Resources