Pledge Card

Giving is always a voluntary decision.
Recognizing that your time is valuable, United Way’s Community Campaign and Champlain College comes to you once a year with one request.

 Please take this opportunity to help.

Need a pledge card? 
You can download the form and fill it out. 
Please keep a copy of it for your records.

See below for details on filling out the form. 
Once complete, send to

Julie Richard, Sr. Academic & Student Services Advisor,
Room 322 in Perry Hall, Champlain College, Burlington, VT


Or by by interoffice mail - Box 11

Questions? Call (802) 865-6463

Information Regarding Your Gift
  • Your signature is required to process this pledge form.
  • United Way of Chittenden County does not provide goods or services as whole or partial consideration for any contributions.
  • Please fill in the information on the pledge form that asks for your name, address and telephone number.
  • Initial payments on payroll deduction pledges made in the fall are usually received by United Way in the following year.
  • Every dollar you give to United Way is multiplied by the United Way’s effective use of volunteers, in-kind donations and community collaborations
  • Our average combined administrative and fundraising cost for the last 5 years is 15%.

United Way's Privacy Pledge to YOU!
Information you provide to United Way is used only to properly credit your contribution and
 communicate with you about United Way and related program information.
United Way will NEVER sell, rent or trade information about you.

Important Tax Information
  • Gifts to United Way of Chittenden County are tax deductible within the limits of current federal and Vermont state law. For your tax records, please keep a copy of this pledge form, along with your pay stubs or canceled checks.
  • Under Section 1217 of the Pension Protection Act of 2006, a donor cannot claim a tax deduction for any contribution of cash, a check or other monetary gift made on or after January 1, 2008, unless the donor maintains the record of the contribution.
  • For direct gifts, please retain bank records such as canceled checks, credit card statements, or other documentation AND a copy of the pledge form.
  • For payroll gifts or gifts made through your employer, please retain pay stubs, W-2s, or other withholding documentation AND your copy of the pledge form.
  • Questions? www.unitedwaycc.org