CAMPUS GIVING CAMPAIGN
PAYROLL DEDUCTION FORM
EMPLOYEE INFORMATION
NAME EMPLOYEE ID
PHONE EMAIL
DIVISION COLLEGE MAIL STOP
DEPARTMENT
EMPLOYEE TYPE: ⃝ FT STAFF ⃝ PT STAFF ⃝ FT FACULTY ⃝ PT FACULTY
EMPLOYEE GIFT
PAYROLL DEDUCTION
I WISH TO CONTRIBUTE $ __________ EACH PAY PERIOD BEGINNING __________.
I understand that this deduction will continue until I notify the Foundation of a change.
I WISH TO CONTRIBUTE $ __________ TO BE PAID IN __________ PAYROLL DEDUCTIONS.
CASH/CHECK/CREDIT CARD (ONE-TIME PAYMENT)
I WISH TO MAKE A ONE-TIME CONTRIBUTION IN THE AMOUNT OF $ __________.
Please choose one of the following:
CHECK/CASH ENCLOSED.
PAYMENT TO BE MADE VIA FOUNDATION’S SECURE WEBSITE (GIVE.EDCC.EDU).
MATCHING GIFT PROGRAM
I OR MY SPOUSE WORKS FOR A MATCHING GIFT COMPANY. I HAVE ENCLOSED THE MATCHING GIFT FORM.
If you are not sure whether your gift can be matched, contact the Foundation at x1274 for more information.
RECOGNITION
I WISH FOR THIS GIFT TO REMAIN ANONYMOUS.
EMPLOYEE SIGNATURE
EMPLOYEE SIGNATURE DATE
RETURN COMPLETED FORM TO THE FOUNDATION OFFICE
THANK YOU FOR YOUR PARTICIPATION!
YOUR GIFT MAKES A DIFFERENCE IN THE LIVES OF OUR CAMPUS COMMUNITY.
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