Help end poverty

Prefix
First Name*
Last Name*
Email*
Phone
Address*
Address City Province Postal Code Country
Workplace Name*
Workplace Address*
Address City Province Postal Code
Workplace Donation*
- No, this is a personal donation
- Yes, I would like my donation included in that campaign total
My company or organization runs a United Way campaign. I would like my donation included in that campaign total. I understand my donation will be processed and handled in the same way as if I gave through my workplace.
Workplace Name*

Prefix
First Name*
Last Name*
Email*
Phone
Address*
Address City Province Postal Code Country
Workplace Name*
Workplace Address*
Address City Province Postal Code
Workplace Donation*
- No, this is a personal donation
- Yes, I would like my donation included in that campaign total
My company or organization runs a United Way campaign. I would like my donation included in that campaign total. I understand my donation will be processed and handled in the same way as if I gave through my workplace.
Workplace Name*

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