United Way of America employees must complete this form before United Way Store can list products, process orders, invoice customers and handle customer service inquiries.

Questions? Call (703) 212-6300 or e-mail Customer Service.

Product Information

Item Title:

Selling Price: $

Quantity Breaks:

Quantity per order (example: each, sets of 10, etc.):

Product Weight:

Dimensions of Product (height, width, depth, etc.):

Brief Description of Product/Content/Uses:

Number of Pages (if applicable):

Attach any relevant images files (up to three for each product):

Image #1:

Image #2:

Image #3:

NOTE: We can only accept attachments that are under 2mb in size each. If you have any file that is over 2mb, please send those to art@unitedwaystore.com or contact us for other ways to send artwork.

Related Material (example: brochures, sell sheets, etc. - please list):

Quantity Projected to be placed into inventory:

Date Inventory due to UWA Warehouse (MMDDYY):

Do Not Put On United Way Store Web Site:

Contact Information

Contact Name:

Division Name:

Phone: ext.

E-Mail:

UWA Cost Center Code: