the City of La Quinta employee giving campaign

Gifts to Inland SoCal United Way support Education, Financial Stability, Housing, and Health for residents throughout the region.

Please make your payroll deduction by filling out the form on this page.

If you have questions or need assistance, please reach out to Jake Koetsier, jkoetsier@iscuw.org.

Department

Name

First Name

Last Name

Cell Number

Payroll Deduction Amount

How much would you like to give each pay period?

Designation (if applicable)

Would you like to direct your gift?

Notes or Instructions

Please tell us anything you would like for us to know about your gift.

Electronic Signature

By adding your name here, you consent to having the indicated amount deducted from your paycheck. You acknowledge that no goods or services have been exchanged for this gift. Gifts are made to Inland SoCal United Way EIN 95-1742174

the City of La Quinta employee giving campaign

Inland socal united way