Agawam Council
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Phonathon Contact Report Form
Please complete the information for each call you make.
Contact Name
*
First Name
Last Name
Outreach Status
*
select one
First Attempt
Will Give Online
Pledge Made
Left Message
Considering
Declined
Bad Number
Contact Report Summary
*
A summary of your discussion or contact attempt. Indicate "left message", "bad number", etc. as appropriate
Pledge amount
*
Enter the amount the person agreed to give by September 30th
Submitted By
*