We ignite our community to give, advocate and volunteer so that our youth succeed in school and life, our residents are healthy, and our families are financially independent. View our Sponsorship Opportunities Donor Information First Name Last Name Home Address City State - Select -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email Address Phone Number Donation Designation(s) General/Individual Donation General donations power United Way Santa Cruz County’s core programs, United 4 Youth and United 4 Community, providing support where it’s needed most in our community. Workplace Giving Campaign Through payroll deduction or a one-time contribution, you can give back to the community and invest in a stronger, healthier future. Stuff the Bus WIP ELC United in Purpose Awards Community Emergency Fund Name of Employer Donor Note (optional): Add a dedication or special instructions. Credit Card Donation I'd like to cover the fees associated with my donation so more of my contribution goes directly to United Way of Santa Cruz County. Yes No Frequency of Your Donation One-Time Donation Recurring Donation (monthly) Recurring Donation (every 3 months) Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the "Donor Notes" field below. One-Time Amount $10 $25 $50 $100 $250 $500 Other… Please enter your amount $ Monthly Recurring Amount $5/month ($5.15/month charged) $10/month ($10.30/month charged) $25/month ($25.75/month charged) $50/month ($51.50/month charged) $100/month ($103/month charged) $250/month ($257.50/month charged) Quarterly Recurring Amount $50/quarter ($51.50/quarter charged) $125/quarter ($128.75/quarter charged) $250/quarter ($257.50/quarter charged) $500/quarter ($515/quarter charged) $1000/quarter ($1030/quarter charged) $1,250/quarter ($1287.50/quarter charged) Frequency of Your Donation One-Time Donation Recurring Donation (monthly) Recurring Donation (every 3 months) Recurring gifts will occur perpetually until you notify our office to stop payments. You may provide special instructions in the "Donor Notes" field below. One-Time Amount $10 $25 $50 $100 $250 $500 Other… Please enter your amount $ Monthly Recurring Amount $5/month $10/month $25/month $50/month $100/month $250/month Quarterly Recurring Amount $50/quarter $125/quarter $250/quarter $500/quarter $1000/quarter $1,250/quarter Payment Information Leave this field blank 25%
