2017-18 Michigan Masonic Home Pledge Form Welcome to the Michigan Masonic Home Employee Campaign. Thank you for choosing to support United Way through Easy Payroll Deduction! Simply complete the form below and you will receive an electronic acknowledgement of your pledge. Learn more about Breaking the Cycle of Generational Poverty. Questions? Contact the United Way office at (989) 773-9863. If you prefer to make a one-time donation by credit card, please click here. PAYROLL DEDUCTION This form is for Masonic employees only. First Name * Last Name * Home Address * City * State * Zip Code * Email Address * Phone * Amount per pay period * $ How much would you like to have deducted each pay period? (Example: $1, $2, $5, $10, etc.) Number of Pay Periods * # How many pay periods would you like to donate? Total Gift Amount * $ Multiply the Amount Per Pay Period by the number of Pay Periods. (Example: $2 x 26 = $52, $5 x 26 = $130, $10 x 26 = 260) United Way works to Break the Cycle of Generational Poverty through educational programs that give children the skills to succeed and help adults achieve long-term financial stability so they can support themselves and their familes. If you prefer, you may designate your contribution to a specific local nonprofit organization. To choose this option, click on the checkbox next to "Other" and type in the name of the organization you wish to support. ($100 minimum donation on designated gifts; a 7% administrative fee applies.) Designation Selection (Select One) * Early Childhood Education & Literacy Youth Development & Mentoring Financial Stability Other Local Nonprofit Organization (specify in comments) Questions or Comments I would like my gift to remain anonymous * No Yes By clicking on the "Submit" button you are authorizing Michigan Masonic Home to process your payroll deduction.