IMPACT Sponsorship

Thank you for helping power positive change in our community.

Membership for the 2024-2025 season is open. Please fill out the form below hosted by our fiscal agent, Town of Palm Beach United Way.

If you wish to pay in installments, please call the Town of Palm Beach United Way at 561-655-1919 – they will be happy to assist you.

Please also call the United Way office if you are paying through a private foundation or donor advised fund.

You must make a selection for the payment field to appear.

2024-2025 Membership

Annual Sponsored Membership - $ 1,100.00

$1,100 is tax deductible; $1,000 is added to the grant pool and $100 covers an administrative fee

Additional Donations (OPTIONAL)

Optional Donation

Fill in box(es) below

Sponsored Membership Pool (NOT for a specific member)

FILL in BOX.

Operating Budget (supports administrative costs)

FILL in BOX.

Total Amount

Impact Profile (Copy)

Your First Name *

Your Last Name *

Your Home Address *

Your City *

Your State *

Zip *

Your Personal Email *

Your Personal Cell *

Sponsored Member Phone

Credit Card

Card Type

Card Number

Security Code

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *

THE TOWN OF PALM BEACH UNITED WAY MEETS ALL REQUIREMENTS SPECIFIED BY THE FLORIDA SOLICITATION OF CONTRIBUTIONS ACT. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE WITHIN THE STATE (1-800-435-7352). REGISTRATION DOES NOT IMPLY ENDORESEMENT, APPROVAL OR RECOMMENDATIONS BY THE STATE. FLORIDA REGISTRATION NUMBER 710843, FEDERAL ID NUMBER 59-063-7885. THE TOWN OF PALM BEACH UNITED WAY RECEIVES 100% OF EACH CONTRIBUTION. THIS INFORMATION WILL BE USED ONLY BY THE TOWN OF PALM BEACH UNITED WAY AND WILL NOT BE DISCLOSED TO OTHER PARTIES.