Government of New Brunswick Donation Form : United Way Central N.B.

GNB Donation Form - Payroll Deduction Only

My Contact Information
First Name*
Last Name*
Address*
Street Address City Province Postal Code
Phone
Email (W)
Email (H)
Employee Number*
Department*
I am retiring this year:
- YES - Please add me to the retiree mailing list
- YES - DO NOT add me to the retiree mailing list
- NO
Are You a First Time United Way Donor?
- YES
- NO
My United Way
My United Way*
- Fredericton & Central NB
- Greater Moncton & Southeastern NB
- Saint John, Kings & Charlotte
My Donation
Direct Donation To:
- United Way Community Fund: The UNITED WAY COMMUNITY FUND is the most powerful way to invest in YOUR local community. United Ways work with community stakeholders to understand the most pressing local needs and then invest your dollars in charitable organizations providing high-impact programming and services to meet those needs. Through our vigorous application, evaluation and accountability process, you can be assured that your contribution is driving the very best solutions to priority issues in your local community.
- Other Charity: I understand this charity is not evaluated by United Way
A 10% processing fee is subtracted for each payroll deduction designation to cover the cost associated with your designation.
Charity Name
Charitable Registration #:
For more information on Canadian Charities, click here
**In order for us to process your designation, you must provide us with a registered charity number.
*Evaluation includes diligence around financial stability, governance and sustainable impact against root causes.

Payroll Deduction
My Total Donation For The Year*
Pay Periods: Please select below
- Weekly: 52 pays
- Bi-Weekly: 26 pays
- Semi-Monthly: 24 pays
- Monthly: 12 pays
- Custom: indicate number of periods
Number of Pay Periods
Deduction Amount Per Pay
Deduction Amount (custom)
My Total Donation For The Year

Government of New Brunswick Donation Form

GNB Donation Form - Payroll Deduction Only

My Contact Information

My United Way

My Donation

Payroll Deduction

Thank You

United Way of Central New Brunswick

United Way of Greater Moncton & Southeastern New Brunswick

United Way Saint John, Kings & Charlotte