JBS Campaign Please fill out your pledge information below. Thank you. I work for the following: Headquarters JBS Greeley Beef JBS Greeley Value Added JBS Carriers Department(Required)Select OneBeefPilgrimsPorkShared ServicesEmployee ID(Required) First Name(Required) Last Name(Required) Preferred Email(Required) Personal Address Street Address City State Zip My Contribution – Please choose from one of the options belowOption 1: I authorize the company to deduct the following amount per pay period. I am paid Weekly (52) Every other week (26) I authorize my payroll For one (1) year Continuous until further notice to the company HR or Payroll Department Option 2: I authorize a ONE TIME deduction from my paycheck in the amount of Option 3: I want to make a ONE TIME donation with my credit/debit card Credit/Debit Amount to charge Credit CardCard Details Cardholder Name Please Direct My GiftDesignation Area of greatest need Reading Great by 8 (reading to learn) Thrive by 25 (mentoring young adults to succeed) Weld’s Way Home (preventing & ending homelessness) Aging Well (supporting older adults) Connecting Weld (increasing visibility & accessibility of resources) Other Enter your home zip code & UWWC will direct your gift to the United Way in your community. If no zip code is entered, your gift will make an impact in Weld County CO.Agency Name and Address AuthorizationSignature(Required) Date(Required) MM slash DD slash YYYY Δ
