2025-2026 Portland (Schools & Town) Pledge Form

Thank you for being part of the Town of Portland and Portland Public Schools family. By giving through Middlesex United Way, you’re helping neighbors right here in Portland and across Middlesex County. Every dollar makes a difference—together we create stronger, healthier, and more resilient communities.

Your Name
Your Contact Information
What Workplace Campaign are you part of?
I am a Town of Portland Employee
I am a Portland Public Schools Employee
Donation Method
Payroll Deduction
$
NOTE: Portland District Employees are paid 26 times a year.
NOTE: Portland Town Employees are paid weekly.
Check Donation
$
Make checks payable to Middlesex United Way. Please give the check to your Campaign Coordinator within 24 hours of this pledge.
Cash Donation
$
Please give your cash donation to your Campaign Coordinator within 24 hours of this pledge.
Credit Card Donation
$
$
After completing this form you will be redirected to our payment page where you will be able to process your transaction in a secured environment. Please be sure to enter the same values that you have entered on this form. Thank you!
Total Annual Contribution
$0
Donation Details
*Pledge must be a minimum of  $52 to designate to an outside agency.
Do you give Middlesex United Way permission to share the details of your donation and your contact information with the designated agency where you choose to direct your funds?
Please check 'yes' if you agree to allow Middlesex United Way to share your information with the specific United Way or other nonprofit you have chosen to designate your funds to. 
Agreement
My signature below, confirms my pledge as stated above.
Sign above

Thank you for your contribution! Your donation helps so many families in our community.

Interested in helping out?