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Employee Giving
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Employee Giving
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Employee Giving
Please fill in the form below
First Name *
Last Name *
Email *
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Address 1 *
Address 2
City *
State *
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Zip *
Department *
Designation
College Annual Fund
Pacific Oaks Institutional Unrestricted
Additional notes
(e.g. 'this gift is in memory of...')
Schedule *
Payroll Deduction
One-time
Date Payroll Deduction Should Begin
Next Pay Period
Future Pay Period
If You Selected Future Pay Period, Enter Date to Begin Payroll Deduction
May 2012
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Date Payroll Deduction Should End
May 2012
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Total Annual Contribution (you may consider making an annual gift based on one of the following amounts)
An annual gift of $50 = $1.92 per pay period
An annual gift of $100 = $3.85 per pay period
An annual gift of $250 = $9.62 per pay period
An annual gift of $500 = $19.23 per pay period
An annual gift of $1,000 = $38.46 per pay period
Other Amount
If you selected Other Amount, enter here
Total Amount if One Time Gift
I authorize Pacific Oaks College & Children’s School to deduct the above amount from my paycheck.
I agree to the above statement *
*All starred items are required.
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