UNITED WAY OF GREATER LAFAYETTE
1114 STATE STREET ::  LAFAYETTE, IN 47905
PHONE (765) 742-9077 :: FAX (765) 742-9079
  UNITEDWAY@UW.LAFAYETTE.IN.US
    
Copyright © 2007. All rights reserved.

Schedule A Loaned Campaign Representative
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2009 Loaned Campaign Representatives (LCRs) are available beginning  July 20 to speak to your employees about United Way and the services of the 23 partner agencies.  Their presentations can fit any timeframe and audience requirements. Presentations may be scheduled seven days a week, any hour of the day. 
                         
"United starts with U"
To schedule a presentation please complete form below or contact Ashley Furois by email at ashley@uw.lafayette.in.us or by phone: 765-742-9077 x230

1.  Presentation Date/Time

2.  Presentation Date/Time

3.  Presentation Date/Time   

4.  Presentation Date/Time 

5.  Presentation Date/Time

6.  Presentation Date/Time

7.  Presentation Date/Time

8.  Presentation Date/Time

9.  Presentation Date/Time

10. Presentation Date/Time 


Company
Address of Company
Specific Location of Presentation at Company
Phone #
In-House Campaign Coordinator(s) Name(s)
Person Requesting LCR/Contact Person at Site
Email:
Timeframe for Presentation
Place on Agenda
Audience Make-up and Size
Electronic Medium Available
Are Campaign Supplies Needed?
2007 $ Raised
New Goal
# of Vanguards in Company
Special Considerations:
USBDVDVHSNONE
YesNo