Thank you for supporting a very worthy cause!

We're a proud supporter of the Aloha United Way (AUW) and greatly appreciate you taking part!

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* 1. I would like to contribute to the Aloha United Way (enter dollars below).
Please do not include sensitive data such as member number.

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* 2. Please debit my (Savings or Checking) account:

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* 3. The last two digits of your account number.
Please do not include sensitive data such as entire member number.

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* 4. What is your last name?

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* 5. What is your first name?

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* 6. What is your phone number?
Note: This helps us identify who you are.  Don't worry!  We won't contact you unless absolutely necessary.

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* 7. Check here to indicate that you understand:

Your account will be debited by Thursday, October 31st.

Thank you!

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* 8. Any other comments or special instructions?  If you would like a receipt, please leave your e-mail address.

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