EMPLOYEE CAMPAIGN

Full Name

Email

Department

Phone Number

Sign me up for:

Bi-weekly payroll deduction, until I notify the Foundation otherwise

One-year committment to bi-weekly payroll deduction

One-time donation, deducted via payroll

How much would you like to give?

$2 per pay ($52 per year)

$5 per pay ($130 per year)

$10 per pay ($260 per year)

$15 per pay ($390 per year)

$20 per pay ($520 per year)

$30 per pay ($780 per year)

$50 per pay ($1,300 per year)

OTHER

DOUBLE
YOUR IMPACT

From October 15-30, Allstate Insurance is matching any increases or new donations made through employee giving, up to a maximum of $5,000.

This gift is in honour or memory of someone

Where would you like your gift to be directed?

Name of Tribute (and year of death, if deceased)