* Cabinet or Constitutional Office

* Coordinator Name, Email and Phone

* Delivery Address for KECC Supplies (Note: All supplies will be delivered to the front desk unless otherwise requested here. IF YOUR OFFICE IS CLOSED DUE TO COVID-19, please provide location, as well as best day of the week for delivery.)

* How many KECC Report Envelopes do you need for 2022? (Note: Mid-size and Large Offices - Remember to request enough for your volunteer team across the state. Report Envelopes are used to submit all donations other than those electronically submitted via KHRIS. These envelopes can be submitted by request on "Frankfort Collection Dates", already on your calendar for various Wednesdays throughout the campaign.)

* How many KECC Special Event Envelopes do you need for 2022? (Note: Mid-size and Large Offices - Remember to request enough for your volunteer team across the state. Special event envelopes are used to submit all cash or checks collected through special event fundraisers. Please use one envelope per event. These should NOT be submitted alone, but inside a Report Envelope with any paper pledge forms or other special event envelopes collected that period.)

How many KECC Posters do you need for 2022? (NOTE: Given limited office operations due to COVID-19, please request the appropriate number of posters and place them in locations that ensure the greatest visibility. Some offices may only require one, while others will require several.)