Stephens pledge form | United Way of Douglas County Skip to main content

Stephens pledge form


Pledge a Donation Online

For your convenience, United Way has created this online pledge form for your pledge donation.*

When you complete the form, simply click on the "Submit" button. Your information will be acknowledged by the United Way office, and forwarded to corresponding Human Resources offices. Your donation will begin with the 1st pay period of January. Your information will be kept strictly confidential. Please refer to our privacy policy below. If you would like a separate tax receipt, please contact the United Way of Douglas County.

*Stephens staff are kindly asked to renew their payroll deduction pledge on an annual basis.


For recognition purposes
Please click here if you wish for your gift to remain anonymous.
Your card number
The security code present on the back of your card.
If you would like to make a recurring donation instead of a one time gift.
Please calculate donation per installment (x1, x4, x12, x26) to ensure accurate pledges.
Designate your gift to one or all of the community goals listed here. $26 minimum designation. If you wish to designate to a United Way of Douglas County Community Partner, please contact the United Way office by emailing
Enter number only (not $)
Give where you live. Enter your home zip code here.