Request a digital pledge form Your Company's NameYour Name First Last Your TitleYour Email How do you want to receive information regarding employee pledges?* Automatic email to company representative each time a pledge is made. Collective list of employee pledge information at the end of the company campaign (you can always check in to see how things are going if you choose this option). Who is your company representative for campaign pledges? (This person will be the one to receive the automatic email each time a pledge is made, or the collective list of employee pledge information at the conclusion of your campaign) First Last Company Representative Email Address Does your company have the ability to execute donation on behalf of employees through payroll deduct? Yes No Number of pay periods (Choose multiple if applicable) 52 (Weekly) 26 (Every 2 Weeks) 24 (Twice A Month) 12 (Monthly)
