Donation through Payroll Giving

Thank you for your interest in donating to the United Way for Cortland County through payroll deductions.

Name

 

Employer

 

Street Address

 

City

 

State

 

Zip

 

Phone Number

 

E-Mail Address

 

PAYROLL GIVING

   

I'll pledge 

  per pay period

# Pay Periods per year

 

Comments

 
   

 

  or to begin again