ePledge Setup Request Form 2023

Please fill out the Request Form at least 14 business days prior to your campaign kick-off date to allow for set-up and testing.�

1) * Company Name

2) * Company Campaign Manager Name:

3) * Email Address:

4)Would you like the final payroll report sent to you? Select no to have the report sent to someone else within the organization.

Yes

First and last name of the person to receive the payroll report:

* Email

5)Would you like any employees to have adminstrative rights to your e-Pledge site?

Yes

6)Are you interested in one on one ePledge training?

Yes

First & Last Name

Include employee pledge amounts

Do NOT include employee pledge amounts (only responses)

Add Additional Person

First & Last Name

Include employee pledge amounts

Do NOT include employee pledge amounts (only responses)

7) * Total number of pay periods:

8)Can employees change the number of pay periods for their payroll deduction gift (not to exceed the total number)?

Yes

9) * Date campaign kick-off email will be sent:

10) * Time you would like the email sent:

11)Use one of our internal email addresses to send our email messages to employees at our organization.

Yes

Organization's CEO

Organization's Company Campaign Manager

Other

12) * Name of sender:

13) * Email address to send our communications from:

Your campaign kick-off email will be sent from unitedway@unitedwaymc.org.

14)Dates you would like reminder emails sent:

15) * What date would you like your e-Pledge site to close?

16) * Submitted by (email address):

You will receive a follow up email from United Way to coordinate messages for your emails.

Items marked with an asterisk(*) are required

Send Completed Survey To

Customer Service Hours: Monday - Friday, 8 AM - 5 PM
help@unitedwaymc.org

United Way
of Marathon County
705 S 24th Ave, Ste 400B
Wausau, WI 54401
715-848-2927

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