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2020 CAMPAIGN FORM
Please complete the following and submit at your earliest convenience.
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Campaign Champion Name
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Your answer
Title
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Your answer
Company/Organization
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Your answer
Email
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Your answer
Address
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Your answer
Phone Number
Your answer
Website
Your answer
Local CEO
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Your answer
Total Number of Employees (we need this number to generate campaign reports)
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Your answer
When will your organization conduct your campaign? (Please provide start and end dates)
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Your answer
Campaigns with presentations from United Way staff raise more funds for their community. Please indicate the DATE(S) and TIME(S) you would like a United Way representative to speak with employee groups.
Your answer
Would you like your presentation(s) from United Way staff to be IN-PERSON or VIRTUAL?
In-Person
Virtual
Combination of both
We do NOT want a presentation from United Way staff
Clear selection
Are you interested in having a dedicated webpage for your campaign?
Yes
No
Clear selection
Are you interested in in-person or virtual volunteer opportunities for employees at your organization?
Yes, I am interested in IN-PERSON volunteer opportunities for our employees.
Yes, I am interested in VIRTUAL volunteer opportunities for our employees.
No, I am not interested in volunteer opportunities for employees at this time.
Clear selection
United Way provides the following campaign supplies. Which supplies would you like to order?
11 X 17 Campaign Posters
Folded Pledge Forms
"Proud Supporter of United Way" Lawn Sign
"Live United" T-Shirts (if yes, we will follow-up with a t-shirt order form)
211 Flyers for customers and/or employees
Any additional questions/comments/concerns?
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