Preferred Donation Method Options - Select One - Select -Payroll DeductionCheckCashDebit/Credit Amount of Check Check Number 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. Please take your check donation to your organization's designated United Way representative and make checks payable to: Griffin-Spalding County United Way or GSC United Way Amount Per Pay Period ( x 12 pay periods) Amount of Cash Please take your cash donation to your organization's designated United Way representative Employer Department - Select -Department 3Department 2Department 1 Other 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 Submit
