EasternFloridaStateCollegeFoundation,Inc.isa501(c)(3)not‐for‐profitorganizationanddirectsupport
organizationofEasternFloridaStateCollege.
New
Updated
Cancellation
EmployeeGivingCampaign
2014PledgeForm
“Lend a Hand”
EmployeeName:_________________________________________________
Campus/Bldg‐Rm#:________________________________________________
BNumber:________________________ PhoneExt:___________________
Yourdonationwillbedesignatedtothisyear’sBookAwardsScholarshipunlessotherwisespecified
below:
BookAwardsScholarship DesignatedScholarship:_____________________
Splitmy giftasfollows:__________________________________________________ ___________
PayrollDeduction
IauthorizeEasternFloridaStateCollegeto
deductthefo llowing amountfromeach
paycheck(24payperiods)untilchangedor
revokedbyme:
$5$10$15
Other:____________________
Totalpayrolldeductionco mmitment:
$_____perpayperiodx24pays=$_____
Onetimegiftis:$_______________________
Cash/Check
Iamenclosingmygiftof$___________ _____
CashCheck(payabletoEFSCFoundation)
CreditCard
Ipaidmygiftof$____ _____online
easternflorida.edu/go/employeegiving
Chargemygiftof$_________tomy:
VisaMasterCardDiscover
Card#_____________ __________________ _
Signature:________________________ ____________Date:_________________________________
Pleaselistmynameinrecognitionmaterialsas:________________________________ ___________
Donotpublishmynameinrecognitionmaterials.
Pleasecompletetheaboveinformation,sign,dateandreturntotheEFSCFoundation.Pleasecallus
at(321)433‐7055withanyquestions.
Email:efscfoundation@easternflorida.edu
Fax:321‐433‐7647
Mail/Deliver: EFSCFoundation,Inc.
Bldg.19,Room201
CocoaCampus
Thank you
for your
support
of
Eastern Florida State
College students!
DESIGNATION
PAYMENTINFORMATION
RECOGNITION