Employee / Workplace Giving Form - MACCThank you for your interest in supporting Mother and Child Charity (MACC) through your workplace. This form allows employees and workplace champions to indicate how they or their employer would like to support MACC. Our team will follow up to coordinate next steps.Please enable JavaScript in your browser to complete this form.Your Full Name *FirstMiddleLastYour Email *EmailConfirm EmailPhoneBest number to reach youYour AddressBuilding number and street nameCity, State, Zip codeEmployer Information - Company Name *Employer Name *FirstLastJob Title *Work Email *EmailConfirm EmailWork PhoneBest work number to reach youWebsite / URL Work AddressBuilding number and Street nameCity, State, Zip code How would you like to support MACC through your workplace? *Payroll deduction giving programEmployer matching gift programOne-time employee donationRecurring employee donationEmployee giving / Financial support:Peer-to-peer fundraising (employee-led)Workplace fundraising campaign or challengeCause related event or team fundraiserWorkplace engagement / Fundraising:Team volunteering opportunitySkills based or professional volunteer supportVolunteer / Skills based support:Payroll deduction / Matching giftsPlease share what you know about your company's payroll deduction or matching gift program (platform used, frequently, or HR contact if known).Workplace product / In-Kind supportEmployee product donation programGift cars or prepaid cardsAirline miles or travel rewardsHotel or lodging pointsTranspiration passes / creditsEvent / experience ticketsNew bulk product donationsPeer-to-Peer or Workplace Fundraising Please describe the type of fundraising campaign or challenge you are interested in hosting. Would you like MACC to set up the donation page?YesNoNot sure yetVolunteer or Skills based SupportPlease describe the type of volunteer or skills based support you or your team can provide.Employee Product / In-Kind DonationsPlease describe the items or support being offered, including type, quantity, and whether items are new and unused.Travel Rewards / Gift Cards / TicketsPlease provide details about the rewards, gift cards, or tickets you are offering (program, approximate value, quantity).When would you like to move forward?ImmediatelyWithin 30 days1-3 monthsExploring optionsNot sure yetHow did you hear about MACC?Employer or colleagueReferralEventWebsiteSocial mediaOnline searchOtherComment or MessageConsent and Acknowledgment *I confirm that the information provided is accurate and I consent to MACC contacting me regarding this submission. I understand that participation and contributions are subject to MACC review and acceptance and acknowledge MACC's privacy policy.Submit
