Pledge Gift Form

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Tell Us About Your Gift

I would like to make a...required
The amount you would like to give for EACH recurring charge.
The amount you would like to give for EACH recurring charge.
The amount you would like to give for EACH recurring charge.
Other
The amount you would like to give for EACH recurring charge.
I would like to be charged on therequired
Other
What date would you like to be charged for the sum total of the amounts above?

 

Gift Options
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Your employer's HR department should be able to help you submit your matching gift form to UA.

 

Tell Us About You

Namerequired
First Name
Last Name
Countryrequired
I am a(n)...
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(if not applicable, put NA)

Payment Information

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How to Give

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Giving Levels

giving levels

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Other Giving Options