Preferred Donation Method Options - Select One Payroll Deduction Check Cash Credit Card or ACH Amount Per Pay Period Frequency you are Paid - None -Weekly (52 times/yr) Bi-Weekly (26 times/yr)Semi-Monthly (24 times/yr)Other If other, what frequency: Amount of Check Amount of Cash Please mail your check to: United Way of Henry County 611 N. Perry St. St. Napoleon, OH 43545 If donating by credit card or ACH, please CLICK HERE to exit this form and complete your online transaction. Please mail your cash donation to: United Way of Henry County 611 N. Perry St. St. Napoleon, OH 43545 Total Annual Payroll Contribution: $ 0 Update My Contact Information First Name Last Name Home Address City State - Select -Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Zip Code Email Address Office Phone Cell Phone Employer Employer Name Location/Department Name Employee Number Donor Notes Donor Notes CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Submit
