Small Business United E-Pledge Form Small Business United E-Pledge Form Name/Nombre* First Middle Last Company Name* Mailing Address* Phone Number* Email* Small Business United Donation Amount* Check one of the following:* MASTERCARD VISA AMERICAN EXPRESS DISCOVER PERSONAL CHECK Please attach check and make payable to United Way of South Texas. - 113 W. Pecan Blvd., McAllen, TX 78501Credit Card Information* Card Number Expiration Date (MM-YY) CSV Code Cardholder Name I authorize my Small Business United Donation as listed above.* Agree Signature (Print Full Name in Box Below)* Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature*Section Break Δ
