Workplace Giving: Massey - United Arts of Central FloridaUnited Arts of Central Florida

Donor Information

This contribution is from:*

an Individual
a Corporation

Company Name*

Your Name*

Prefix First Last Suffix

Email*

Phone*

Employee Number

Preferred Mailing Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Spouse/Partner Name (optional)

Prefix First Last Suffix

Account Number/Donor ID (optional)

Your Account Number/Donor ID can be found on correspondence we send to you throughout the year, including pre-populated pledge forms and pledge reminder statements. This information is also available to you by emailing a request to UACF@UnitedArts.cc.

Recognition Preferences

How would you like your name to appear in applicable recognition materials?

For anonymous, please type "anonymous"

Tribute Information

Is this a tribute gift?

Yes
No

This gift is:*

in memory of
in honor of

Tribute Name:*

Please send a notification of my gift

Yes
No

Send a notification of my gift to:*

First Name Last Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Newsletter

Yes, I want your e-newsletter that highlights the amazing arts, science and history events going on each week! Brought to you by OrlandoAtPlay.com – your online event guide to everything arts and culture in Central Florida!

Newsletter Primary Interest

Contribution Information

I would like my donation to support United Arts Educational Programs in a specific county. Please make selection below. (Optional)

Lake County
Orange County
Osceola County
Seminole County

United Arts and our campaign partners are working together to raise $6 million unlock an additional $500,000 Challenge Grant from Orange County. Write your gift amount in the field next to the organization name(s).

Please note: we cannot accept gifts restricted to a specific program of an organization as we cannot ensure the organization will use the gift for that program.

All contributions given through this form - designated to the Arts for ALL Fund – are earmarked specifically in support of United Arts’ Educational Programs. Your donation today will provide funds for schoolchildren to attend arts & cultural performances, workshops and museum tours on subjects including performing arts, visual art, literacy, science and history. All programs are tied to the school curriculum and provide lesson plans for teachers to extend the learning. Studies show that arts participation increases academic success, improves test scores & GPAs, and reduces drop-out rates; this effect extends across socioeconomic strata and racial/ethnic categories. To support one student costs just $5, while $100 supports a whole class! And $500 can provide a whole grade-level trip or a school assembly performance! Thank you for kind donation and changing young lives through the arts!

Art & History Museums of Maitland

ArtReach Orlando

Bach Festival Society of Winter Park

Bay Street Players

Central Florida Ballet

Central Florida Community Arts

Central Florida Vocal Arts/Opera del Sol

Crealdé School of Art

Creative City Project

Downtown Arts District/CityArts Orlando

Enzian

Florida Symphony Youth Orchestras

Garden Theatre

Global Peace Film Festival

Holocaust Memorial Resource and Education Center of Florida

Leesburg Center for the Arts

MicheLee Puppets

Mount Dora Center for the Arts

Opera Orlando

Orange County Regional History Center

Orlando Ballet

Orlando Fringe

Orlando Gay Chorus

Orlando Museum of Art

Orlando Philharmonic Orchestra

Orlando Repertory Theatre

Orlando Science Center

Orlando Shakes

Page 15

Russian Ballet

Snap! Orlando

Timucua Arts Foundation

United Arts - Arts for ALL Fund

Winter Garden Heritage Foundation

Other Organization(s) Total

Other Organization Name(s):

If you entered an amount in the "Other Organization(s) Total" box above, please list the organization(s) and designation amount(s) here.

If you choose not to designate your gift to a specific organization, then it will go to the Arts for ALL Fund.

United Arts is committed to quickly disbursing campaign funds to the designated Campaign Partners. Designated gifts and pledges cannot be changed once United Arts has disbursed the funds to the organizations indicated.

Please verify that your pledge total is entered correctly. All gifts are final.*

I understand and have confirmed that the final total amount is accurate.

Your Gift Total:

$0.00

Administrative and Fiscal Management Fee:

Donations: $0.00

I'd like to help as much as possible by adding the 5% administrative and fiscal management fee to my gift:

Yes

An administrative and fiscal management fee of 5% will be charged to all donations.

validate

Payment Information

Do you want this donation to be deducted from your payroll?

Yes
No

Method of Payment*

Charge Card in Installments*

PLEASE NOTE: Due to system limitations, we are unable to take credit card numbers online and store them for processing at a later date. A member of our staff will contact you by phone to obtain your card information. Please finish completing this donation form by choosing your card installment choice below and continuing on the next section.

Please Enter Month and Year:*

Credit or Debit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Billing address same as above

Billing Address*

Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of Payroll Installments*

Please enter a number greater than or equal to 1.

Payroll Start Date

Please make check payable to:
United Arts of Central Florida
216 Pasadena Place
Orlando, FL 32803

Invoice Options:*

Please Enter Month and Year:*

Stock Details (optional)*

If you will be paying with Stock, please provide as much information as possible, including stock name, approximate number of shares, and estimated date of transfer. For assistance, please contact us at 407.628.0333, x226.

Notes

If needed, please use this section to provide additional information and comments.

Notes

To confirm, the total amount you are donating is:

$0.00

Thank you for your generous support of United Arts of Central Florida and, through us, the Central Florida arts and cultural community.
Please review your contribution information above and click Submit to complete your donation.

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.