LA SCCC Pledge Card Sample and Reporting Checklist Information

Sample Pledge Card

  • Donor information is printed clearly.
  • Contribution method has been selected.
  • Designation to at least one charity is indicated.
  • Total Contribution = Total Designation.
  • Pledge form has been signed by employee.
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Campaign Reporting Checklist​
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  • Verify every pledge form is completed in full. See sample of a completed pledge form above. Check each pledge form for at least one designation and a signature by donor. Pledge forms missing this information will be returned to coordinators to be completed.
  • Ensure that your campaign report envelope does not include online giving (individual pledges and/or special event) in your results. All contributions (individual pledges and/or special event) made online will be managed and reported by LAUW.
  • No cash, checks or money orders are enclosed.
  • Make 3 additional copies of every pledge form and distribute to the individual, payroll, and coordinator records.
  • Enclose all pledge forms, seal envelope and mail to LAUW by the deadlines listed below. 
Mail:
Louisiana Association of United Ways
P.O. Box 2191, Baton Rouge, LA 70821

To inquire about local pickup:
Call (225) 295-6631 or email [email protected]

Deadline for Individual pledges is November 6, 2026
#GiveHOPELA