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IF YOU WOULD LIKE TO DONATE THROUGH YOUR WORKPLACE CAMPAIGN, PLEASE USE YOUR COMPANY'S CUSTOMIZED GIVING LINK.

A $35 MINIMUM CONTRIBUTION.

Amount *

Total Amount

Name and Address

First Name *

Last Name *

Street Address

City

State

Zip Code

Email Address

Phone

My name will be listed as it appears OR list my/our names as follows:

Current Employer *

I wish to remain anonymous

Yes

Special Notes:

For questions concerning your contribution, please contact Tamika Joyner at 252-937-2213 ext. 205 or email at tamikajoyner@unitedwaytrr.org