Fillable 2015 ALOHA UNITED WAY PLEDGE FORM MAHALO for (Research Corporation of University of Hawaii)

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2015 ALOHA UNITED WAY PLEDGE FORM MAHALO for (Research Corporation of University of Hawaii)

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2015 ALOHA UNITED WAY PLEDGE FORM MAHALO for making a difference in our community!
200 N. Vineyard Boulevard, Suite 700 • Honolulu, Hawaii 96817-3952 • (808) 536-1951 • auw.org
EASY PAYROLL DEDUCTION $100 $50 $25 $10 $5 Other $_____________
#____ Pay Periods (# of deductions) = My Total Annual Gift $_____________ Payroll deduction begins January 2016.
DIRECT GIFT OF $____________
Cash
Check # _____________ (attached) Checks cashed upon receipt. Check payable to Aloha United Way.
Credit Card Total Gift $_____________ (VISA / MasterCard / AmEx) Card # _____________________________________ Exp._____/_____
In lieu of completing this form, you can make your donation online at auw.org/donate for immediate processing.
AUTOMATIC TRANSFER Total Annual Gift $_____________
Debit Amount $_____________ monthly from my checking account beginning ___________ 15, 2016 or on the next business day. (Attach voided check.)
BILL ME ($48 minimum) for a total gift of $_____________ Monthly Quarterly Beginning _____/_____ One Time _____/_____
MY INFORMATION The “My Information” Section must be completed by the donor to process the gift.
GIVING OPTIONS
INVEST MY GIFT
Age: 18-35 36-45 46-55 56+ (Optional - Please help us know you better)
OUR PRIVACY PLEDGE TO YOU: Aloha United Way respects the privacy of its contributors and does not rent,
trade or sell its contact information. Your information is used only to properly credit your contribution and
to communicate about Aloha United Way and related program information. Mahalo for your support!
I want my gift to remain anonymous in all recognition materials.
I wish to be listed in recognition materials as follows:________________________
I would like information about Aloha United Way’s Legacy Giving program.
I have included Aloha United Way in my will/estate plan.
HOME WORK CELL
Mr. Mrs. Ms. Dr. Other __________ Sufx (Jr., Sr.) __________
FIRST NAME ____________________________________________ MI _____ LAST NAME ________________________________________________________________________
SPOUSE/PARTNER'S NAME ___________________________________________________________________________________________________________________________
HOME ADDRESS __________________________________________________________________________________________________ CITY ____________________________
STATE _______ ZIP _____________ PREFERRED PHONE ____________________________ PREFERRED EMAIL __________________________________________________________
COMPANY NAME __________________________________________________________________________________________________________________________________
Original Signature Required.
NO PHOTOCOPIES OF SIGNATURES ACCEPTED.
Contact Aloha United Way at 536-1951
for additional forms or visit our website at auw.org.
AUW - Original • COORDINATOR - Please make copies for your records.
____________________________________________Date:___________________
SIGNATURE REQUIRED
(No goods or services of more than nominal value given in return for this contribution.)
1. ALOHA UNITED WAY COMMUNITY CARE FUND (80100)
The best way to help our whole community. Your unrestricted gift provides help where it is needed most. $________________________
2. COMMUNITY NEEDS
EDUCATION (80113)
$______________________
POVERTY PREVENTION (80114)
$______________________
SAFETY NET (80105)
$______________________
Ensure our keiki are ready to succeed in
kindergarten and increase high school
graduation rates.
Reduce homelessness, especially among families
with children and help families build assets and
become nancially secure.
Provide services to those in our community
experiencing crisis or emergencies.
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NEIGHBOR ISLAND CARE ($48 MINIMUM PER ISLAND)
Aloha United Way (80000) $ ____________
Friendly Isle United Fund (Molokai) (70580) $ ____________
Hawaii Island United Way (70560) $ ____________
Kauai United Way (70550) $ ____________
Maui United Way (70570) $ ____________
ALOHA UNITED WAY PROGRAMS
211 Information and Referral Service (80106) $ ______________
Get Connected (80107) $ ______________
AGENCY/PROGRAM SUPPORT ($48 MINIMUM PER CHOICE)
My gift is designated to one or more specic agencies or programs.
For list of codes, visit auw.org/donor-choice.
Code # $ ____________
Code # $ ____________
Code # $ ____________
Code # $ ____________
TOTAL GIFT(S) DESIGNATED $ ____________
(Must not exceed total pledge. Your 2015 payment will be distributed in 2016.)
OPTIONAL DONOR CHOICE
For more information, contact Aloha United Way at info@auw.org.
GIVING SOCIETIES
GIVING GUIDE
Together with you, building a stronger, safer Oahu. When you give to Aloha United Way, you are investing in what you care about most-
our families, our neighborhoods, our keiki. And because we ONLY invest in programs that are accountable and deliver results, together
we are making strides towards signicant change in our community.
200 N. Vineyard Boulevard, Suite 700 • Honolulu, Hawaii 96817-3952 • (808) 536-1951 • auw.org
Giving is a personal decision and is voluntary. The Giving Guide may be
used as a guideline. Whatever amount you choose to give, Thank You.
YOUR GIFT MATTERS
$10 per month will pay for 300 meals for low-income seniors and
families over the course of a year.
$50 per month will ensure 3 individuals who are homeless and without
medical insurance receive comprehensive medical, dental, and
behavioral health services.
$250 per month will provide early childhood learning experiences for one
child from a lower income family over the course of a year.
26
Payments
$10.00
$14.04
$25.00
$50.00
$100.00
$250.00
$500.00
24
Payments
$10.84
$15.21
$27.09
$54.17
$108.34
$270.84
$541.67
12
Payments
$21.67
$30.42
$54.17
$108.34
$216.67
$541.67
$1,083.34
Total Annual
Gift Amount
$260.00
$365.00
$650.00
$1,300.00
$2,600.00
$6,500.00
$13,000.00
Cidr
Dlr A Day Cb
TOCQUEVILLE SOCIETY
Comprised of community leaders who believe in investing in ways to change lives and build a
stronger community through leadership gifts of $10,000 or more.
EMERGING TOCQUEVILLE SOCIETY
Honors individuals committed to the spirit of caring through leadership gifts of $5,000 or more.
LEADERSHIP GIVING
Create lasting change in the community. With a $1,000 annual gift or more, you will be part of a
select group of individuals who make a profound difference, set a standard for caring and create
opportunities that foster change and a better life for all.
SOCIETY OF YOUNG LEADERS
Motivating young professionals through community involvement, philanthropy and volunteerism.
DOLLAR A DAY CLUB
Join our $1 a day club to make a difference in someone’s life.
IN A GIVING COMMUNITY
(Check the box if you have donated the noted amount
and want to be a part of this program.)
Women United: $500 or more
Tocqueville Society: $10,000 or more
Emerging Tocqueville Society: $5,000-$9,999
Leadership Giving Society: $1,000 to $4,999
Society of Young Leaders (21-45 years old):
$120 or more
Dollar-A-Day Club: $365/year
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2015 ALOHA UNITED WAY PLEDGE FORM MAHALO for (Research Corporation of University of Hawaii)

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Completed 29 July 2020

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