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For United Way Use
Only:
Envelope #:_____________
Batch #: ________________ |
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Enclose this form with white copies of pledge forms, cash,
and checks in the envelope provided or in a large plain manila
envelope.
Report only the amount included with this report.
Please keep checks and cash attached to the individual
pledge form.
Week ending:__________________________
Company or Organization: ____________________________________
Number of employees in organization:
__________________________
Department:_________________________________________________
Name of
Keyworker:_____________________________________Phone:______________
Email: _______________________________
| Number of Cash Donors _________
Number of Check Donors _________
Number of Payroll Amount
Payroll Deduction Donors _________
Total Number of donors _________ |
Amount Cash $____________ Amount
Checks $____________
Deductions $____________
Total Contributions $____________ |
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| Instructions: |
- Fill out the Weekly Report Form and make a copy
for your records In an envelope
- Enclose white copies of pledge forms.
- Enclose cash or checks attached to individual
pledge forms.
- Include this cover sheet with above materials in
the envelope and mail or deliver to:
Mailing address:
United Way of Southeast Alaska
P.O. Box 20249
Juneau, AK 99802
Physical address:
United Way of Southeast Alaska
Juneau Empire Building
3100 Channel Drive, Suite 325
Juneau, AK 99801
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