United Way of the Plains

Loyal Contributors and Diamond Donors

Have you been giving to United Way - in any city - for 10 years or more? If so, you are a Loyal Contributor.

How about 25 years or more? That makes you a Diamond Donor.

Let us know who you are so we can...

  • Say thanks for your continued support.
  • Invite you to special celebrations.

We want to make sure you know how important you are to United Way.

Complete the form below, call (316) 267-1321 or email loyalcontributors@unitedwayplains.org.

Loyal Contributor Sign-up

  1. Name(s):*
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  2. (Please list name(s) exactly how you prefer to be listed in publications.)
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  5. I have donated to United Way, in any city, since (approximate year): *
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  6. Current Employer:
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  7. or Retired From:
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  8. Home Address: *
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  9. City:*
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  11. Zip Code:*
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  12. Home Phone:
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  13. Home Email:
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  14. Work Phone:
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  15. Work Email:
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  16. Spouse's Name:
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  17. Spouse's Employer
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  18. Birthday (mm/dd/year):
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  19. Spouse's Birthday (mm/dd/year):
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  22. * indicates a required item