WELCOME TO THE UNITED WAY CAMPAIGN Please complete the Pledge Card Below Novelis Pledge Card Location/Department Name Employee Number My Contact Information First Name Last Name Email Address Cell Phone Office Phone Home Address City State - Select -Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code Preferred Donation Method Options - Select One Payroll Deduction Check Cash Credit Card or ACH Care Share (1 hour pay per month) Care Share Plus (2 hours pay per month) Amount Per Pay Period $ Frequency you are Paid 24 Pay Periods (Salaried) 52 Pay Periods (Hourly) Amount of Check Amount of Cash Credit Card Donation Options One Time Donation Monthly Recurring Donation Amount of One-Time Credit Card Donation $ Amount of Recurring Montlhly Credit Card Donation $ On the next screen you will enter your credit card information and complete your payment, please make sure it matches what you have entered here. Thank you. Care Share Donor - What is your hourly rate? $ Care Share Plus Donor - What is your hourly rate? Total Annual Contribution Total Annual Contribution $ 0 Donor Details Designation Community Fund Greatest Impact to provide support in all 4 counties Christian County Todd County Trigg County Specific Agency MInimum of $50 donation required. Please list the name of the agency and their address in the notes field. A minimum of a $50 donation is required to be able to designate. Donor Notes
