SPS Pay it forward United Way campaign

united, we can champion our children & create pathways out of POVERTY.

Thank you for considering a gift to United Way of the Ozarks. Please complete the United Way Pledge Form below to enroll in the SPS Pay It Forward Campaign. Please note: This is not a rollover campaign. If you have enrolled in the past you will need to complete this form to re-enroll.

If you wish to make a gift with your credit card, please click here.

Questions about the SPS Pay It Forward Campaign or United Way of the Ozarks? Contact: Rachael Walsh, Vice President of Resource Development | [email protected] or 417-863-7700 x 230

SPS Pay It Forward: United Way Online Pledge Form

Name(Required)

First Last

Employee ID(Required)

SPS Building Location(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Work Email(Required)

Phone Number(Required)

Birth Date

Month

Day

Year

Gender

Gift Type(Required)

For Payroll Deduction(Required)

Amount Per Paycheck(Required)

Indicate the total amount that is to be deducted by payroll each paycheck. Payroll deduction will start in January 2023. SPS employees will receive 24 paychecks annually.

Total Payroll Deduction Amount(Required)

Indicate the total amount that is to be deducted by payroll annually (amount deducted per paycheck x number of pay periods per year(24)).

One-Time Payroll Deduction Amount(Required)

Indicate the total amount that is to be deducted for your one-time gift in January 2023.

For Check/Cash/Bill Me Donations(Required)

*All check/cash donations can be mailed to United Way of the Ozarks. Include SPS Employee Campaign Information with your donation. (320 N. Jefferson, Springfield, MO 65806.)

Check Amount(Required)

Check Number(Required)

Cash Amount(Required)

Bill Me Amount(Required)

You will be billed at the address provided above.

Do you wish to designate your gift?(Required)

Yes

The Community Fund is the most powerful way to provide for your community. Your donation will support the Community Fund unless otherwise specified. However, if you wish to designate your gift, please indicate where you would like your gift directed.

I wish to designate my gift to a specific United Way Fund

Upstream Fund

Safety Net Fund

Innovation Fund

Cancer Fund

Veterans Emergency Assistance Fund

Transportation Fund

I wish to designate my gift to a United Way Nonprofit Partner

I wish to designate my gift to a Nonprofit that is not a United Way Funded Partner

Your Passion: I am passionate about the following focus areas in my community

Creating Pathways out of Poverty

Championing Children

Do you wish for your gift to remain anonymous?(Required)

Yes

E-Signature(Required)

Please type your name in the box above to confirm enrollment.

Today's Date(Required)

MM slash DD slash YYYY

SPS Employee Signature(Required)

I authorize this pledge submission for the SPS Employee Campaign.

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