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Types of Gifts
Evangeline Burgess Legacy Society
Employee Giving
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Employee Giving
Please fill in the form below:
First Name *
Last Name *
Email *
Confirm Email *
Address 1 *
Address 2
City *
State *
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Alaska
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District of Columbia
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Zip *
Schedule *
Payroll Deduction
One-time
Department *
Designation
Pacific Oaks Institutional Unrestricted
Children's School Fund
Children's School Staff Development Fund
Children's School Unendowed Scholarship Fund
Children's School Facilities Fund
Additional notes (e.g. "this gift is in memory of...")
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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19
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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
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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