Enterprise - Donor Choice 2017

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Donor Choice Form 2017
Please direct the following amount of my gift to the tax-exempt agency(ies) listed here. I understand that United Way of the Dutchess-Orange Region will deduct a 15% processing fee per designated agency. Designated gift must be made to a 501c3 organization. Organizations must be Patriot Act compliant.
Please direct the following amount of my gift to this tax-exempt agency. I understand that United Way of the Dutchess-Orange Region will deduct a 15% processing fee per designated agency. Designated gift must be made to a 501c3 organization. Organizations must be Patriot Act compliant.

This amount should equal the total pledge amount, including designation to donor agency and any donation to United Way

Please list any agency or agencies you do not wish your pledge to support.
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