United Way Request Form Page 2
Download a blank fillable United Way Request Form in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete United Way Request Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2United Way requires a minimum of 15 working days to produce the personalized pledge form once both the
request form and data have been received from you. Please complete this form and submit it with your
employee file to United Way.
Organization name : __________________________________________________________
Your name : ____________________________
Email : ________________________________
Phone number: ________________
MANDATORY DATA & PRINT REQUIREMENTS:
Indicate the number of pay periods your organization has : 12, 24, 26, Other: ________
How many employees (full and part time) does your organization currently have? ___________
Please indicate which fields from your data file you would like printed on the pledge form and visible
through the window envelope. Note these fields are mandatory: First Name, Last Name, Company Name
1. First Name
Visible in window
5.
_____________ Visible in window
2. Last Name
Visible in window
6.
_____________ Visible in window
3. Company Name Visible in window
7.
_____________ Visible in window
4. _____________ Visible in window
8.
_____________ Visible in window
Please identify which fields you would like the pledge forms sorted by, this will be the order which your
pledge packages will be delivered to you. (For example, Last Name, Department)
First sort :
____________________
Click here to SUBMIT to United Way
Second sort:
____________________
Third sort:
____________________
OPTIONAL DATA & PRINT REQUIREMENTS:
Do you require a special information line to be printed?
(Max : 36 characters including spacing)
Yes, please print the following on all the pledge cards: ______________________________________
United Way - OFFICE USE ONLY
Campaign manager : __________________
Ext : ____________________
Account number :
__________________
Date requested : ____________________
Pick up date required : ________________
Kick off date : ____________________
Is this a combined campaign (paper and online)
Yes
No
Package details :
Standard
Other
Sample attached
RD Director for non-standard package approval: ____________________
Subsidiary locations (sub-locations)?
Yes
No
(Form required for each subsidiary location if information is different otherwise provide subsidiary location
account numbers below. If more room is required, attach a separate sheet listing all the subsidiary
locations.)
Subsidiary account number : ____________________
Local
Out of area
Subsidiary account number : ____________________
Local
Out of area
Subsidiary account number : ____________________
Local
Out of area
Are there employees from outside the Alberta Capital Region included in this file that require pledge
packages?
Please produce packages
No packages required
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business