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* 1. How often have you donated to United Way throughout your lifetime?

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* 2. United Way appropriately thanks me for my support.

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* 3. I'd like my donation(s) to be recognized by (check all that apply):

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* 4. I feel that United Way of Porter County achieves its mission: "to lead, unite and inspire our community to improve lives."

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* 5. I believe in the causes United Way of Porter County champions--health, education and financial stability.

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* 6. Which causes resonate most with you? Pick your top 3 choices.

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* 7. I feel the work of United Way has a positive impact on my community.

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* 8. My life or that of someone I know has been improved by the work of United Way.

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* 9. I feel that United Way keeps me informed.

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* 10. I wanted to be informed about (check all that apply):

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* 11. I prefer to stay informed through (check all that apply):

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* 12. In a few words, please finish the following statement. I choose to donate to United Way because:

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* 13. I give United Way permission to utilize my statement or story above for promotional purposes?

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