Heart of Illinois United Way Campaign Materials Order FormCompany/Organization(Required)Employee Campaign Coordinator Name(s)(Required)Phone(Required)Email(Required) Address/Location to Deliver Materials(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Date(s) campaign will be held(Required)Date materials needed by(Required) MM slash DD slash YYYY Number of full-time employeesPlease enter a number greater than or equal to 0.Number of part-time employeesPlease enter a number greater than or equal to 0.Essential Campaign MaterialsUnited Way Brochure(includes 2-1-1 information)Please enter a number greater than or equal to 0.Donation Form(3-ply forms)Please enter a number greater than or equal to 0.Promotional and Publicity Materials – Available in Limited Quantities:Fulfillment of your request may be reduced as these materials are not intended for distribution to every employee.Casual Day Stickers(PDF available on hoiunitedway.org if you want to print your own)Please enter a number greater than or equal to 0.Small Paper Bags(for popcorn, treats, etc.)Please enter a number greater than or equal to 0.United Way Pens(to be used as giveaways)Please enter a number greater than or equal to 0.United Way Thank You/Note Cards(PDF available on hoiunitedway.org to print your own)Please enter a number greater than or equal to 0.11 by 17 Campaign Posters(8.5 by 14 PDF available on hoiunitedway.org to print your own)Please enter a number greater than or equal to 0.Table Tents(PDF available on hoiunitedway.org to print your own)Please enter a number greater than or equal to 0.United Way BalloonsPlease enter a number greater than or equal to 0.Community Impact Report(annual report; meant for limited distribution)Please enter a number greater than or equal to 0.New Hires Insert(inserts into UW brochure; invite new employees to your UW campaign)Please enter a number greater than or equal to 0.Leadership Giving Packets(for contributions of $1,000 or more)Please enter a number greater than or equal to 0.Questions about your supply request?Call Pamela Biles at 309-674-5181, ext. 1226Questions about UW logos or other campaign marketing needs?Email Gina Edwards at *protected email*, ext. 1234For more campaign digital or print materials, visit:hoiunitedway.org/hoiuw-campaign-materialsNameThis field is for validation purposes and should be left unchanged.