Campaign Report

Campaign Report

Jennings County United Way Campaign Report Form
Company Name
CEO
CEO Email address
Company's Internal Campaign Leader
Campaign Leader's Email
example@example.com
Campaign Leader's Title with company
Campaign Leader Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Account #
Awards confirmed
Total # of Employees
Total # Donors
# Leadership givers
($500/year & up)
This report is
Type of Gifts Included in Report
Employee Campaign Awards Criteria
Special Events Total
Payroll Deduction Pledges
Fully Paid Gifts
Direct "Bill Me" Gifts
Credit Card Pledges
Corporate Pledge
Corporate Match %
Corporate Match Total
Corporate Sponsorship Total
Corporate Sponsorship Program
Corporate Non Campaign Leadership
Amount Previously Reported
Campaign Total
Payments to United Way will be made:
# of pay periods per year
Date payroll deductions begin

MonthDayYear
Date
Payroll Contact Name
Payroll Contact Phone
Format: (000) 000-0000.
Payroll Contact Email address
example@example.com
File Upload (scanned pledge cards, corporate contribution letter, special events flyers etc)

Cancelof
Billing Address for Account Statements

Street Address

Street Address Line 2

CityState

Zip Code
Person filing this report
Signature
Should be Empty: