EPLEDGE ADMINISTRATOR ACCESS FORM

First time ePledge companies are asked to sign and return the United Way of Central Alabama Memorandum of Understanding (MOU) for use of the Electronic Pledging (ePledge) system. As companies continue to use ePledge, administrator roles and general information is updated annually through this adminstrator access form. The individual listed as the Company Contact shall be granted ePledge Administrator access unless otherwise indicated by Company.

COMPANY INFORMATION

Company Name

Company Address

City

State

Zip Code

Company Contact

Date

AUTHORIZED EPLEDGE ADMINISTRATOR ACCESS LEVELS

Please list all individuals approved for ePledge Administrator access below. To add additional administrators, please click the "Add another response" link to add additional names.

Name

Email Address

Contact Information