Oklahoma State University Pledge Form

United Way of Payne County Campaign

Step 1

Preferred Donation Method

Donation Options - Select One

Bill Me

Bank Draft

Credit or Debit Card

Bill Me

Frequency of Bill Me Donation

One-time

Quarterly

Monthly

Other

If other, what frequency? Please enter the number of times you wish to be billed in a year.

One-time Amount

Amount per Month

Amount per Quarter

Amount per Billing

Start Date

Special instructions for invoicing

TOTAL BILL ME AMOUNT $0

Bank Draft

Bank Name

City

State

Zip Code

Routing Number

Account Number

Frequency of Bank Draft Donation

One-time

Quarterly

Monthly

Other

If other, what frequency? Please enter the number of times you wish to be billed in a year.

One-time Amount

Amount Per Month

Amount per Quarter

Amount per Period

Start Date (bank drafts begin on January 5 by default)

Special instructions

TOTAL BANK DRAFT AMOUNT: $0

Credit or Debit Card

Thank you for your supporting United Way of Payne County.

To complete your donation, please click below:

Pay by Credit/Debit Card

Step 2

My Contact Information

First Name

Last Name

Mailing Address

City

State

Zip Code

Email Address

Phone Number

CWID

Your OSU Department

Donor Notes & Financial Authorization

Donor Notes

I authorize the financial transactions and terms above.

Yes, I agree and authorize.