METHOD OF PAYMENT
I have enclosed my check payable to United Way
Credit card payment– To protect your card information, our CoSA Payroll Dept. will contact you during This year, I wish to invest $______September to collect the card information through the 2017 City of San Antonio Charitable Campaign. Contact phone number: ______THANK YOU FOR YOUR GIFT! Signature: ______(Signature required for credit card) If your investment is $500 or more, please indicate how you prefer to be acknowledged in the leadership Please fold and return this form in an envelope and mail to: directory: Human Resources Customer Service Mr./ Mrs./ Mr. & Mrs./ Ms./ or as follows: 111 Soledad, Suite 100 ______San Antonio, Texas 78205
Please do not acknowledge my/our gift in Contribute Online At: the United Way Leadership Directory https://unitedwayofsanantonioandbexarcounty.formstack.com/forms/cosa_retiree_pledge
AGENCY DESIGNATION The City of San Antonio Charitable Campaign continues each year to Code: ______$______advance its mission of improving the quality of life for the citizens of San Antonio who are less fortunate. We encourage you to designate Code: ______$______your contribution to one or more agencies. Agency names can be found in the enclosed guide for you to select from. Please include the agency Code: ______$______code number, with your contribution amount, as it appears in brackets in Code: ______$______the guide.
DONATION RECEIPT
METHOD OF PAYMENT
Check payable to United Way Thank You for your contribution to the 2017 Date issued ______Amount ______City of San Antonio Charitable Campaign! Credit card payment Date processed ______Amount ______Please remove and maintain this section as a copy of your method of payment and designated Online payment agencies for your records. Date processed ______Amount ______
AGENCY DESIGNATION Agency Name Code Amount ______$ ______$ ______$ ______$ ______2017 City of San Antonio Charitable Campaign Agency Listing, by Federation
United Way of San Antonio and Bexar County Local Independent Charities of Texas 8061 Greater San Antonio After-School All-Stars 8024 Guadalupe County United Way 100 United Way of San Antonio and Bexar County 8625 Animal Defense League of Texas 8049 Healthy Futures of Texas 205 Alpha Home, Inc. 8630 Animal Resource Center 8013 Hill Country Daily Bread Ministries 530 American Heart Association Inc., dba Southwest Affiliate 8632 BCFS Health and Human Services 8045 JOVEN - Juvenile Outreach and 101 American Red Cross serving Greater San Antonio 8602 Blessed Sacrament Academy Vocational/Educational Network 210 Any Baby Can of San Antonio, Inc. 8604 CASA of Central Texas, Inc. 8008 Judson ISD Educational Foundation 215 Arc of San Antonio, The 8627 Communities In Schools of South Central Texas Inc. 8062 LiftFund 740 Autism Community Network 8612 Ecumenical Center for Religion and Health 8010 Meating the Need 300 AVANCE-San Antonio, Inc. 8617 Guide Dogs of Texas Inc. 8009 Merced Housing Texas 635 Barshop Jewish Community Center of San Antonio 8618 Habitat for Humanity of San Antonio 8054 New Beginnings Children’s Home at Canaan Land Ranch 565 Battered Women and Children’s Shelter 8620 Homes for Pets 8050 North East Educational Foundation, Inc. 305 Big Brothers Big Sisters of South Texas 8619 KLRN 8020 Northside Education Foundation 310 Boy Scouts of America, Alamo Area Council 8610 Methodist Children’s Home 8063 Phil Hardberger Park Conservancy 315 Boys & Girls Clubs of San Antonio 8607 Morningside Ministries 8069 Project QUEST, Inc. 375 Boys Town Texas Inc. 8628 Operation Comfort 8070 Providence Place 320 Boysville, Inc. 8621 Operation Homefront 8005 Reaching Maximum Independence, Inc. 220 Brighton Center 8622 Planned Parenthood San Antonio 8064 Restore Education 330 Catholic Charities, Archdiocese of San Antonio, Inc. 8615 Planned Parenthood South Texas Surgical Center 8067 SA Cancer Council 600 CentroMed 8626 Project MEND 8032 San Antonio Clubhouse, Inc. 570 Child Advocates San Antonio 8608 Ronald McDonald House Charities of San Antonio 8015 San Antonio Education Fund 225 Children’s Association for Maximum Potential (CAMP) 8603 San Antonio Humane Society 8023 San Antonio Fire Museum 545 Children’s Hospital of San Antonio, The 8623 SJRC Texas 8031 San Antonio ISD Education Foundation 340 Children’s Shelter, The 8629 Soldiers’ Angels 8011 San Antonio Lighthouse for the Blind and Vision Impaired 560 ChildSafe 8613 Special Olympics Texas, Inc. 8029 San Antonio Symphony 670 Christian Assistance Ministry 8611 The DoSeum 8047 Schertz-Cibolo-Universal City ISD Education Foundation 605 Christian Senior Services 8609 Upbring 8037 School of Science and Technology 500 Chrysalis Ministries, Inc. 8614 Winston School San Antonio, The 8017 Society of St. Vincent de Paul San Antonio 290 Clarity Child Guidance Center 8057 Somerset ISD Education Foundation 350 Communities In Schools of San Antonio 8014 Southwest ISD Education Foundation 450 Crosspoint, Inc. Community Health Charities 8025 Spina Bifida Texas 410 Daughters of Charity Services of San Antonio 8042 TEAMability, Inc. 610 Ella Austin Community Center 1005 ALS Association of Texas 8021 Texas Burn Survivor Society, Inc. 662 Family Endeavors 1007 Alzheimer’s Association 8030 Texas Public Radio 615 Family Service Association of San Antonio, Inc. 1002 American Cancer Society, Inc. 8016 United Way of Comal County 360 Girl Scouts of Southwest Texas 1010 American Diabetes Association 8068 University Health System Foundation 415 Good Samaritan Community Services 1015 Arthritis Foundation, Inc., The 8052 Youth Orchestras of San Antonio 245 Goodwill Industries of San Antonio, Inc. 1020 Autism Speaks, Inc. 620 Greater Randolph Area Services Program Inc. 1025 Crohn’s & Colitis Foundation 630 Haven for Hope of Bexar County 1035 Cystic Fibrosis Foundation 365 Healy-Murphy Center 1040 Epilepsy Foundation Central & South Texas EarthShare of Texas 640 Jewish Family Services of San Antonio 1045 JDRF International - South Central Texas Chapter 200 Lifetime Recovery 1050 Leukemia & Lymphoma Society, South Central 8400 EarthShare of Texas 645 Madonna Neighborhood Center, Inc. Texas Chapter 8402 Audubon Foundation of Texas 255 Mission Road Ministries 1030 Lupus Foundation of America, Lone Star Chapter 8401 Bat Conservation International 430 Northeast Senior Assistance 1056 March of Dimes 8407 Bike Texas 650 Presa Community Center 1008 Muscular Dystrophy Association 8418 Center for Maximum Potential Building Systems 575 Rape Crisis Center, The 1080 National Multiple Sclerosis Society 8414 Environmental Defense Fund, Texas Office 270 Respite Care of San Antonio, Inc. 1014 Prevent Blindness Texas 8422 Greater Edwards Aquifer Alliance 260 Rise Recovery 1011 Sickle Cell Association of Texas Marc Thomas Foundation 8415 Guadalupe-Blanco River Trust 275 Roy Maas Youth Alternatives (RMYA) 1012 Susan G. Komen San Antonio 8405 Keep Texas Beautiful 345 SA Youth 8423 National Wildlife Federation South 115 Salvation Army San Antonio Metro Area Command, The Central Regional Center 661 SAMMinistries Local Unaffiliated Charities 8403 Nature Conservancy, The 540 San Antonio AIDS Foundation 8413 San Marcos River Foundation 230 San Antonio Council on Alcohol and Drug Abuse 8033 Archdiocese of San Antonio - Hope for the Future 8421 State of Texas Alliance for Recycling 125 San Antonio Food Bank 8066 Autism Treatment Center 8410 Texas Campaign for the Environment Fund 745 San Antonio Public Library Foundation 8001 Bexar County Family Justice Center Foundation 8420 Texas Parks and Wildlife Foundation 370 San Antonio Sports 8048 Burned Out Survivors’ Fund 8408 Texas Solar Energy Society 390 Seton Home 8040 Carver Development Board, Inc. 8411 Wildlife Rescue and Rehabilitation, Inc. 285 Southwest Outreach for Older People (SWOOP) 8071 Children’s Bereavement Center of South Texas, The 425 St. Paul Lutheran Child Development Center, Inc. 8039 Christian Hope Resource Center 385 St. Peter-St. Joseph Children’s Home 8019 Chromosome 18 Registry & Research Society 675 Texas Diaper Bank 8046 City Year San Antonio 395 ThriveWell Cancer Foundation 8060 Converse Animal Shelter, Inc 515 USO 8058 Daily Bread Ministries 660 YMCA of Greater San Antonio 8051 Dress for Success San Antonio 405 Young Women’s Christian Association 8007 East Central School Foundation, Inc. 8022 Esperanza Peace and Justice Center, The 8035 Fisher House Inc.