Please fill out the request form at least 10 business days prior to your campaign kick-off date to allow for set-up and testing. You will receive a follow up from staff at United Way to coordinate messages for your emails. Who is filling out this form? Email for Person Filling Out Form Company Name Employee Campaign Coordinator Would you like any employees (1-2 people) to have administrative rights to your ePledge site in order to print pledge reports? - Select -Yes No Name of Employee #1 Email Address of Employee #1 Name of Employee #2 Email Address of Employee #2 Total number of pay periods. Is your organization willing to provide United Way with employee names and email addresses to make the donation process easier for your employers? - Select -Yes, my organization will provide United Way with a list of employee names and email addresses so the employees can access donation history and receive personalized links. No, my organization is not willing to provide United Way with a list of employee names and email addresses. I understand this means we will receive a generalized link for our organization and all employees will have to manually enter their information. What is the date of your campaign kickoff? If providing employee email addresses, what date do you want your campaign kickoff email sent? If providing employee email addresses, what date(s) you would like reminder email(s) sent? What date would you like your ePledge site to close? Submit Leave this field blank