Preferred Donation Method Options - Select One - Select -Payroll DeductionCheckCashDebit/Credit Amount of Check Check Number Please take your check donation to your school's designated United Way representative and make checks payable to: Griffin-Spalding County United Way or GSC United Way. Complete the rest of this form to register with your organization's campaign. Pledge Levels Dollars in Action 5 dollars a month = 12 blankets for families in Disaster related emergencies 10 dollars a month = Over a week of shelter for a victim of domestic violence 20 dollars a month = Feeds a home bound senior citizen for a month $2 a pay period $5 a pay period $10 a pay period $20 a pay period Other… Enter other… Amount of Cash Please take your cash donation to your school's designated United Way representative. Complete the rest of this form to register with your organization's campaign. You can donate now through our red DONATE button (top right of page) or click Here. Complete the rest of this form to register with your organization's campaign. Employer School/Department - Select -AZ Kelsey Anne St Elementary Atkinson Elementary Beaverbrook Elementary Carver Road Middle Central Office Cowan Road Elementary Cowan Road Middle Crescent Elementary Enrichment Center Futral Road Elementary GRCCA Griffin High School Jackson Road Elementary Jordan Hill Elementary Kennedy Road Middle Mainstay Academy Maintenance Moore Elementary Moreland Road Elementary Orrs Elementary Rehoboth Road Middle Spalding High Transportation Other Other School/Department Employee Number My Contact Information First Name Last Name Home Address City State - None -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 Email Address Office Phone Cell Phone Donor Notes Donor Notes CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit Leave this field blank