Gas Assistance Program

Please join United Way of the Columbia-Willamette and NW Natural shareholders by contributing to GAP, which for 35 years has helped thousands of low-income families and senior citizens pay their heating bills during the coldest months. To contribute, please follow the steps below. Thank you for helping families meet their basic needs and helping to turn the heat on!

Enter the total amount of your gift over time in the "Total Gift Amount" section.
Enter the number of payments you would like to make to fulfill your total gift amount in the "Payment Frequency" section.
Example: A total gift of $120 would have payments of $10/month or $30/quarter.
Recurring payments will be charged on the 20th of the month.

Credit card - charge my card in full today

Credit card - future or recurring payments

Total Gift Amount:

$25.00

$50.00

$120.00

$250.00

$500.00

$600.00

$1000.00 (qualifies for Women's Leadership Council)

Other Amount

$

$25.00

$50.00

$120.00

$250.00

$500.00

$600.00

$1000.00 (qualifies for Women's Leadership Council)

Other Amount

$

Bill Me Payment

Total Gift Amount:

Billing Frequency:

Securities Payment

Total Gift Amount:

Payment Start Date:

Payment Frequency:

12 monthly payments

4 quarterly payments

2 semi-annual payments

Total Gift Amount:

Total Gift Amount:

* Personal email

Name

Prefix:

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First:

Middle:

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Last:

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* Home address:

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Address Line 1:

Address Line 2:

* City:

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State:

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ZIP/Postal Code:

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Country:

Items marked with an asterisk (*) are required

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DDS,I,II,III,IV,Junior,MD,PhD,Senior,A.O.E.,B.A.,B.Comm.,B.E.S.,B.Ed.,B.F.A.,B.S.A.,B.S.W.,B.Sc.,C.A.,C.D.T.,C.E.T.,C.F.A.,C.F.P.,C.F.R.E.,C.G.A,C.G.A.,C.I.M.,C.I.R.P.,C.M.,C.M.A.,C.N.A.,C.P.A.,C.P.M.,C.S.R.,D.,D.C.,D.D.S.,D.M.D.,D.P.M.,D.V.M.,Ed.D.,Esq.,F.C.A.,F.C.A.I.,F.I.C.B.,F.R.C.P.C.,F.S.A.,LL.B.,LL.D.,M.A.,M.B.A.,M.C.P.,M.D.,M.Eng.,M.L.A.,M.S.,M.S.W.,M.Sc.,Min.,O.C.,O.D.,O.M.,O.M.I.,P.A.G.,P.C.,P.E.,P.Eng.,P.Geo.,Ph.D.,Q.C.,R.N.,Ret.,S.C.J.,ScD,V,V.F.,VI,

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United Way of the Columbia-Willamette

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