Campaign Planning

Your Information

Organization / Company Name

Company Address

Mailing address, if different

My Name

Title / Position

My Phone

My Email

I am the Campaign Coordinator for my company

Campaign Coordinator Contact

Name

Email

Phone

CEO / Owner / Manager

Name

Email

Phone

Payroll Contact

Name

Email

Phone

Are there additional company contacts we should know?

GOAL AND FUND-RAISING IDEAS

Total number of employees

Campaign donation goal

Employee percentage goal

As an incentive to employee giving, will you offer a company match to United Way?

Yes

No

N/A

Is your company interested in sponsorship opportunities?

Yes

No

Does your company offer any grant opportunities?

Yes

No

DATES AND PREFERENCES

Campaign Start Date

Campaign End Date

Which pledge form method(s) do you prefer for employee giving? Select all desired.

Paper pledge forms

Fillable PDF pledge forms for email

Online, credit or debit card-only giving (no payroll deductions)

PAYROLL INFO

Payroll Deductions Start Date

Number of Pay Periods

Payment of Pledge will be provided to United Way

Submit

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