Please complete the form, contact the office at 815-232-5184 if you have any questions. Campaign Coordinator Name * Organization * Phone Number * E-mail * Total Number of Employees * Campaign Start Date * Start date of payroll deduction Would you be interested in a Virtual Campaign? * - Select -Yes, pleaseNo, thank youMaybe, I would need more info on how this works What Campaign Materials will you need? * Pledge Cards Brochures Posters Thermometer Casual Day Stickers Live United T-shirts and other merchandise are available at a minimum cost, contact us for more information Please check which of the following applies to your company: * - Select -Our Company will not use the United Way pledge cardOur Company will attach our own employee labels to the supplied pledge cardsWe will provide a list of employee names for United Way to prepare labels to place on pledge cardsWe would like customized pledge cards created by United Way Speakers Speakers are a great way to educate community members about United Way of Northwest Illinois' work. Please indicate if you would like the Executive Director, Campaign Chair, or an Agency Director to speak to your group.