YMCA Staff - Make A Pledge to the YMCA's Annual Campaign

There are many ways to be involved in our Annual Campaign. Whether you donate, volunteer or share our cause with others, you are helping us to build a stronger Y community! As someone who works at the Y, you make a huge impact on a number of kids, families and individuals, however, your participation in this campaign will allow us to continue serving even more families within our community.

Donating to the Y is now easier than ever with payroll deduction. Every gift, no matter how big or small, provides a meaningful impact in strengthening our community. 

Please fill out the following information to let us know how you'd like to give back to the YMCA of Southeastern NC.

Personal Information
Name
Phone
Email
Address
City
State
Zip
Please select your YMCA branch (if applicable)
 Nir Family YMCA
 Midtown YMCA
 YMCA Youth Services
 YMCA Camp Kirkwood
 YMCA Corporate
 Sampson County YMCA

How I Would Like My Gift Recognized
Recognition Name
I would like my donation made in memory of someone (optional):
I would like my donation made in honor of someone (optional):
 I would like my donation to remain anonymous

Donation Information

 

Power Hour Club 
Donate a minimum of $10.00/paycheck ($20.00/month) to the YMCA's Annual Campaign.  Donations can be made as a one-time payment with a check or credit card, or the Power Hour Club provides an option for all staff from part-time to full-time to donate an equal percentage of their paycheck to the Y’s Annual Campaign. If you would like your contribution to be deducted automatically from your paycheck, choose the Payroll Deduction as your payment method below. 

Every Gift Makes A Difference

$50

Sponsors a teen to be a part of the Y's Leaders Club
$105

Gives someone the opportunity to learn to swim
$140

Teaches kids and teens new skills, techniques and the value of teamwork in a season of youth sports
$175

Provides a child with a week of exploration and adventure through the Y's summer day camp
$375

Allows a cancer survivor to be a part of LIVESTRONG at the YMCA
$500

Provides a year-long membership to an active older adult with limited income
$756

Covers the cost of a Y Health membership for a year to help fight chronic disease and promote healthy living in our community

Donor Recognition Levels

$10,000

Chairman's Roundtable Platinum Donors
$5,000

Chairman's Roundtable Gold Donors
$2,500

Chairman's Roundtable Silver Donors
$1,000

Chairman's Roundtable Donor
$500

Y Benefactor
$250

Y Patron
$100

Y Century Club

 
Total Pledge Amount For the Year:
Choose a YMCA Branch to designate your donation to:
Choose a Y program or service you'd like to support (optional)

Payment Type
Please select your payment type
 Payroll Deduction- Total Pledge to be divided over remaining paychecks for the year
 Cash or Check
 Credit Card- One Time Payment
 Credit Card- Recurring Monthly Payment


Checks can be made to the "YMCA of Southeastern NC" and mailed to:
YMCA of Southeastern NC
PO Box 3467
Wilmington, NC 28406

Credit Card Information:
Name on Card
Credit Card Number
Credit Card Expiration Date
CVV
 Please notify me before charging my credit card

Donor Signature