Welcome to the 2026 United Way of Lee County Campaign! Pledge Card - Southern Union Your Name Title First Middle Last Suffix Your Contact Information Department Email Phone Address City State - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Code Donation Method Preferred Donation Method Payroll Deduction Check Cash Payroll Deduction Contribution Amount Per Pay Period $5 $10 $20 $25 $50 Fair Share One hour of pay per month Other… Please enter the NUMBER only $ Number of Pay Periods for Donation One Time 12 pay periods 24 pay periods 26 pay periods 52 pay periods Other… Please enter the NUMBER of pay periods for this donation Check Donation Amount of Check $ Make checks payable to the United Way of Lee County . Please give the check to your Campaign Coordinator within 24 hours of this pledge. Cash Donation Amount of Cash $ Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge. Total Annual Contribution TOTAL: $0 Donation Details I would like to give my donation to a specific United Way Community Partner Select Community Partner 2-1-1 Community Connections 2-1-1 Community Connections Achievement Center - Easterseals Achievement Center - Easterseals Alabama Head Injury Foundation Alabama Head Injury Foundation Child Advocacy Center Child Advocacy Center Community Market Community Market Dolly Parton's Imagination Library Dolly Parton's Imagination Library Domestic Violence Intervention Center Domestic Violence Intervention Center Early Connections of Integrea Mental Health Early Connections of Integrea Mental Health East Alabama Services for the Elderly (EASE) East Alabama Services for the Elderly (EASE) Food Bank of East Alabama Food Bank of East Alabama Joyland Child Development Center Joyland Child Development Center Keeping Family Connections Keeping Family Connections Lee County CASA (Court Appointed Special Advocates) Lee County CASA (Court Appointed Special Advocates) Lee County Literacy Coalition Lee County Literacy Coalition Project Uplift Project Uplift Tallapoosa County Sheriffs Girls Ranch Tallapoosa County Sheriffs Girls Ranch United Way Community Fund United Way Community Fund Unity Wellness Center Unity Wellness Center If applicable I wish to remain anonymous Agreement My signature below, confirms my pledge as stated above. Signature Sign above Leave this field blank Donate by Credit Card
