New Account Form

Use to enter a new organization account into Andar

Your Name*
First Last
Your Email*
Company Name*
Parent Company
(If applicable)
Company Recognition Name*
How should their name be printed on United Way materials? Include appropriate punctuation
How did you find this account?
List any information about existing relationships or connections that could help us call on this account
Business Details
Type of Business
Number of Dane Co Locations
Number of Dane Co Employees
Full Time Part Time
Contact Information
Business Phone Number
Business Fax
Business Address
Street address, city, zip (include mailing address if applicable)
People
CEO Contact Name
First Last
CEO Contact Title
CEO Contact Phone
CEO Contact Email
Additional CEO Contact Information
Additional Contact Information
Contact name, contact type, title, phone, email, etc.
Development Director Email*
Carli Freidel - Agencies and Communities - Combined Campaigns - Carli.Freidel@uwdc.org | Zach Beaver - Hi-Tech - Finance - Zach.Beaver@uwdc.org | Steve Ticknor - Retail - Manufacturing - Steve.Ticknor@uwdc.org | Aaron Zitzelsberger - UTREC - Professional Services - Aaron.Zitzelsberger@uwdc.org

Full Time	Part Time

Business Details