Campaign Report

Company Name

Employee Campaign Coordinator Name

Company Address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Preparer's Information

Preparer's Name

Preparer's Phone Number

Preparer's Signature

Employee Giving Totals

Total Number of Employees

Total Contribution of Payroll Deductions $

Total Number of Payroll Deduction Donors

Total Cash/Check Contributions $

Total Number of Donors for Cash/Check Contributions

Total Credit Card Contributions $

Total Number of Credit Card Donors

Special Event/ Fundraising Total $

Special Event Fundraising Number of Donors

Total Employee Giving (payroll deduction, cash/check, credit card) $

Total Number of Donors (payroll deduction, cash/check, credit card)

Corporate Giving Totals

Corporate Gift $

Corporate Matching Gift $

Corporate Grant $

Corporate Sponsorship $

Total Corporate Giving $

TOTAL CAMPAIGN GIVING

Total Employee & Corporate Giving $

Payment Information