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, please No, thank you Maybe, 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 -We are going to do a virtual campaignOur 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 Submit