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Are you a LOYAL CONTRIBUTOR?

Have you been supporting United Way for 10 years or longer?

Thank you for giving. Thank you for being involved. Thank you for caring. Please come forward and join other loyal contributors and be recognized for your commitment.

How many years have you contributed to (any) United Way? *
Last Name: *
First Name: *
MI:
Home Address: *
City: *
State: *
Zip Code: *
Home Email Address: *
Home Phone:
Work Phone:
Employer:
Position:
__________________	I am a retiree. Please send me information about including United Way in my will.
Please tell us why you have been giving to United Way for 10 years or more. We would like to include messages on our website, newsletters and other materials. *