Donate Form - 2026 | United Way of Northeast Louisiana

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Are you willing to cover the 4% online processing fee?

Gift Transfer Information

Approximate Amount

Estimated Transfer Date

Transferring Agent

Donor Information

Full Name

Street Address

City

State

Zip Code

Phone Number

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Personalize Your Giving

Does any of the following apply to your gift? Select all that apply.

This gift is connected to my workplace.

I would like to combine my gift with my spouse for recognition purposes.

This gift is in honor or memory of someone.

Your gift will remain anonymous and your name will not be listed for public recognition.

Employment Information

Please select the parish where you work.

Select the company or organization you are associated with.

Select your school or work location.

Spouse Information

Spouse Full Name

Spouse Employer

Gift Recognition

Would you like to keep your gift anonymous?

Yes, I would like to keep my gift anonymous.

No, please recognize my gift under my name.

Your name will not appear in any public donor recognition materials.

For recognition, please list my donor information as follows:

Leadership Giving

Would you like to learn more about Leadership Giving?

Yes, I'd like to learn more.

Not at this time.

Leadership Giving brings together individuals and families who choose to deepen their investment in our community while connecting more closely with United Way and the impact made possible through their support.

How would you prefer us contact you?

Gift Authorization

By submitting this form, I conform that the information provided is accurate and authorize United Way of Northeast Louisiana to process my gift according to the giving method, amount, and frequency selected above.

I agree to the authorization above.

Signature

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Payment Details