United Way - Orange County

Printable Donations Form

An investment in Orange County United Way will support a safety-net of care to ensure that individual's and family's basic needs are met today and will provide long-term solution focused on education and financial stability to move people to self-sufficiency tomorrow.

If you have any questions regarding this donation form, please e-mail us

Please complete and print the form below and either fax or mail to:

Orange County United Way
18012 Mitchell Avenue South
Irvine, CA 92614
(949) 660-7600 voice
(949) 724-4349 fax

Payment Options include:

Credit Card Payment - Please fill out the credit card information below.
Check - Make payable to Orange County United Way.
Stock or Securities - Please contact our Major Gifts Department at (949) 660-7600.
Planned Gifts - Please contact our Major Gifts Department at (949) 660-7600.

*Indicates a required field.

Donation Information

* Donation Amount ($)

($10.00 minimum)

* Card type

* Cardholder Name

* Card number

* Expiration Date

* CVN Number

Email Address

What is your employment status?

	Employed
	Retired
	Student
	Community Volunteer

Name and address of your employer, if employed?

What is your preferred email address?

How long have you been giving to United Way?

	First time giving
	1-4 years
	5-9 years
	10 to 14 years
	15 or more years

For donors giving $10,000 or more annually, would you like to hear more about Women Looking Forward or our Tocqueville Society?

	Yes
	No

The minimum donation is $10. All donations are subject to a 3.5% transaction processing fee

Billing Information

A complete billing address is required

* Suffix
* First Name
* M.I
* Last Name
* Phone
* Street
* City
* State
* Zip