Donate to the Adopt a Student Program

Adopt A Student

Your Name
Your Contact Information
Donation Method
Check Donation
$
Make checks payable to United Way of the Blue Mountains. Please give the check to your Campaign Coordinator within 24 hours of this pledge.
Cash Donation
$
Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.
Credit/Debit Card Donation
$
$
After completing this form you will be redirected to our payment page where you will be able to process your transaction in a secured environment. Please be sure to enter the same values that you have entered on this form. Thank you!
Total Annual Contribution
$0

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

My signature below, confirms my pledge as stated above.