Employee Giving Pledge Form
i. Employee Information
iii. Choose the program(s) you want to support
You can pick many programs as you wish to support
iv. Tell us how much and how many installments
Your donation amount will be split evenly amongst all the programs you select to support.
A. Ongoing deduction (Recurring pay periods)
Recurring Donation per pay period
Recurring Pay Periods
B. 1-year commitment
Donation per pay period x 26 pay periods
26 Pay Periods
C. One-time deduction
Donation per pay period x 1 pay period
1 Pay Period
TOTAL DONATION AMOUNT
If you selected option A, recurring payments, the total amount is the dollar amount per pay period that will be deducted and does not reflect the total donation you will make.
Please enter your full name below to confirm your participation in the program: *
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