Name: Sioux Empire United Way
Address: 1000 N West Ave, Suite 120, Sioux Falls, SD, 57104, United States
Telephone: 605-336-2095
Price range: $

Donor ID Number

You can find your Donor ID number in the upper right corner of your Heart Club thank you letter. If you've misplaced your letter please call our office at 605-336-2095.

Name

First Name

Last Name

Personal Email

Work Email

Cell Phone

Home Phone

Home Address

Address

City

ZIP / Postal Code

State / Province

Employer

Combining With Your Spouse

Couples may combine their gifts to become members of the Heart Club, go up levels in the Heart Club, or reach Rising Heart level.

Yes, we would like to combine our gifts for Heart Club.

No, I do not wish to combine my gift.

Recognition Plaque + Year Bars

I already have a plaque, please send me a year bar.

I do not want a plaque.

I do not have a plaque and would like one engraved with my name stated as below.

Name(s) to be engraved on plaque:

Heart Club Listing

As a Heart Club or Rising Heart giver, your name will be listed with your company in our annual Heart Club booklet.

Please do not publish my/our name.

Please publish my/our name as listed below.

Name to be listed in Heart Club booklet:

Sign Up for Email

Keep me informed about how my gift is making an impact

Send me alerts about upcoming volunteer opportunities

Terms of Service

I agree to the terms of service

Heart Club Recognition Form