United Way of Marathon County

Please fill out the Request Form at least 30 business days prior to your campaign kick-off date to allow for set-up and testing.�Your company campaign may not kick-off on the date requested if information is not received in a timely manner.

1) * Company Name:

2) * Company Campaign Manager First & Last Name:

3) * Company Campaign Manager Email Address:

4) * Company IT Contact First & Last Name:

5) * Company IT Contact Email Address:

6)First & Last Name of Person to Receive the Payroll Report:

7)Email Address of the Person to Receive the Payroll Report:

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

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)

9) * Total number of pay periods:

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

Yes

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

12) * Time you would like the email sent:

All email communications will be sent from unitedway@unitedwaymc.org. We can send communications with a specific signature line. This information will be requested at the same time as your communications and other details.

1)Dates you would like reminder emails sent: (You do not have to use all slots)

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

You will receive a follow up email from United Way to coordinate messages for your emails and other details three weeks prior to your campaign kick-off.

Items marked with an asterisk(*) are required

ePledge Set-up Request Form 2025