Engagement Form for NEW Companies - Annual Campaign | United Way of Northeast Arkansas

Company Name

Company Address

Your Name

Email Address

Work Phone Number

Cellphone Number

HR/Payroll Manager

HR Manager Phone Number

HR Manager Email Address

What are your open enrollment dates?

What dates (or month) do you prefer to host your United Way Campaign?

How many employees does your company have that will be included in your giving campaign? (please let us know if your campaign will cover multiple branches/plants/etc)

What is the number of pay periods in a year for your company? (please let us know if your company has different pay periods for salaried & hourly employees)

Please select the way(s) your company would like to partner with United Way for our Annual Campaign:

Workplace Campaign

Corporate Employee Match

Corporate Campaign Gift

Special Event Fundraiser

Are you interested in learning more about what United Way does or how to get involved? Please inquire below!

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