Workplace Campaign - Reliance Bank

WORKPLACE PLEDGE CARD - RELIANCE BANK

Your Name
Your Contact Information
Donation Method
Payroll Deduction
$
Credit Card Donation
$
$
After completing this form you will be redirected to our payment page 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
0
Donation Details
Please provide nonprofit name. If your designation is not a Rice County United Way nonprofit partner, please provide address and EIN number. 
See our Partner Agencies
Agreement
My signature below, confirms my pledge as stated above.

 

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