Please fill out the information below so staff can ensure you receive the correct materials in your campaign packet. United Way will be in touch as soon as your packet is complete. All campaign materials can also be accessed online at: www.uwgcv.org/campaign-materials. If you have any questions, contact Nick Swartz at nswarts@uwgcv.org or 715-834-5043. Organization Information Organization Name Number of Employees Campaign Start Date (kickoff date you will start distributing your campaign materials) Campaign End Date (date you will stop collecting pledges) Address Address Address 2 City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Employee Campaign Coordinator Information First Name Last Name Email Phone Number Materials Needed Please indicate below the quantity of each item that your organization would like to receive. United Way Brochure: Most organizations request one per employee. Pledge Form: Unless using ePledge, most organizations request one per employee. Report Envelope: Most organizations request one per organization. This is used to turn in pledge forms and any money collected at the end of your campaign. Special Event Report Envelope: Most organizations request one per special event held on behalf of United Way. For example, if you plan to hold a BINGO event and a chili cook-off, you will want to request two envelopes. Sweepstakes Handout: Most organizations request one per employee. Sweepstakes Poster (11x17): Most organizations request one for each main area of the office. For example, if you have a break room plus a conference room where employees gather, you will want to request two posters. Campaign Poster (11x17): Most organizations request one for each main area of the office. For example, if you have a break room plus a conference room where employees gather, you will want to request two posters. Casual Day Stickers: If you allow your employees to donate a specific amount of money to "dress down" for a day, you will want to request one sticker per employee. Corporate Pledge Card: If your organization makes a corporate donation to United Way, you will want to request one of these. Submit Leave this field blank