United Way of Greater Milwaukee & Waukesha County

BPC Pencil Pouch Kit Packing Form

*ALLOW A MINIMUM OF 4 WEEKS BETWEEN REQUEST DATE AND PROJECT DATE*

Select Your Project Type!(Select only one type)

Pencil Pouch #1 (Elementary School)

Pencil Pouch Kit #2 (Middle & High School)

Please select the quantity of kits you would like to sponsor.

100 - $1,200

200 - $1,700

300 - $2,500

400 - $2,800

500 - $4,300

100 - $1,400

200 - $2,100

300 - $3,000

400 - $3,400

500 - $4,300

CONTACT INFORMATION:

* Group/Company Name

* Group/Company Contact First and Last Name

* Title at Group/Company

* Email

* Telephone

* Billing Address (City, State and Zip)

PROJECT PLANNING AND LOGISTICS:

* Today's Date

* Anticipated Project Date

* Please select a back up date in the event we cannot accommodate your first request.

* Anticipated Time of Project (Start and End Time)

Event address: Same as Billing Address?

Select radion button Yes or No.

Yes

When planning your space for kit assembly, consider an area at your office that can accomodate social distancing, all product, and is easy to get access (main floor or by an elevator).

Comments

ADDITIONAL QUESTIONS:

Does your organization offer paid volunteer time?

Select radion button Yes or No.

Yes

* If yes, how many hours per year?

Does your organization match or donate dollars for volunteer time through a Dollars for Doers program or something similar?

Select radion button Yes or No.

Yes

* If yes, please explain.

Is your organization interested in learning more about ongoing volunteer opportunities and/or running a workplace giving campaign?

Select radion button Yes or No.

Yes

ELECTRONIC SIGNATURE:

* Please type your First and Last Name

I understand that checking this box constitutes a legal signature confirming that the company and I acknowledge and agree to the above specifications, including this document, and this volunteer waiver.

Thank you! Your organization will be contacted to confirm next steps on this project. For more information, contact Sarah Kiefer at skiefer@unitedwaygmwc.org.

Items marked with an asterisk (*) are required

Submit

Main Phone

414.263.8100

Address

225 W. Vine Street
Milwaukee, WI 53212
UnitedwayGMWC.org

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