Create Account Information

Personal Email Address

Name

Prefix:

First:

Middle:

Last:

Suffix:

Is your gift in honor/memoriam of an individual/organization?

Yes

Please include the name of the individual/organization to be memorialized/honored as well as the address of the honoree or the person(s) to receive notification of your memorial gift: *

Do you have a message/request regarding this gift?

Yes

Please include your message or request: *

Items marked with an asterisk(*) are required

Your gift will be directed to United Way of the Wine Country's United We Rise Community Impact Fund.

Please enter your information below for credit or debit card gifts. To make a stock gift, please click here for instructions.

Credit or Debit Card

Credit or Debit Card

Total Gift*:

*Example - Your card will be charged $100 monthly if you enter $1,200 as your Total Gift and choose monthly Payment Frequency below.

Bill Me Payment

Total Gift*:

*Example - Your card will be charged $100 monthly if you enter $1,200 as your Total Gift and choose monthly Payment Frequency below.

Billing Start Date:

Jul 01, 2019

Billing Frequency:

Securities Payment

Total Gift*:

*Example - Your card will be charged $100 monthly if you enter $1,200 as your Total Gift and choose monthly Payment Frequency below.

Reminder Start Date:

Jul 01, 2019

Payment Start Date:

Payment Frequency:

One Time

Monthly

Quarterly

Total Gift*:

*Example - Your card will be charged $100 monthly if you enter $1,200 as your Total Gift and choose monthly Payment Frequency below.

Payment Start Date:

Jul 01, 2019

Payment Frequency:

Total Gift*:

*Example - Your card will be charged $100 monthly if you enter $1,200 as your Total Gift and choose monthly Payment Frequency below.

Verification code

Enter code

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Create Account Information

Please select your pledge type