Lubbock Area United Way Logo

Company/Organization

First Name

Last Name

Mobile Number

(Why do we ask? We need your mobile number so if there is a problem on the day of your event, the United Way staff member can get hold of you.)

My company has a new logo / This is our first year using the online pledge form.

Please email your logo to Lyndsey Walton at [email protected].

Start Date of United Way Campaign

Event location

I would like to request...

Please select one or more option below.

To set up an online pledge form for my company.

Does your company offer payroll deduction?

If so, how many pay periods a year will you deduct from? (i.e., 12 pay periods, 24 pay periods)

The 10-Day Email Series to send to my coworkers during our campaign.

Which emails would you like to use?

Please specify which emails you want to use.

A speaker(s) for my company's campaign meeting(s).

Meeting Date

Meeting Start Time

Expected Attendance #

Please share anything else a speaker might need to know like where to park, what entrance to use, etc.

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