Webform | United Way of Greater Kansas City

General Information

Title

First Name *

Last Name *

Email *

Employer/Company Name

Preferred Contact

Cell *

Home

Work

Donation Details

Should your household be combined with another gift from a family member or household?

Yes

If yes, please provide additional donors' first and last name:

Would you like your family to be formally recognized for your donation?

Yes

If yes, please provide the name you would like us to use for formal recognition:

Additional Comments

Additional Comments / How Did You Learn About Us?

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