Employee Giving – Payroll Deduction

Join Our Annual Employee Giving Campaign!

Support Our Youth Services at The Clubhouse and Roots Project

This year, your contributions will directly impact the vital work we’re doing to empower and support our youth. Your generosity will make a meaningful difference in our community. Thank you for being a part of this important effort!

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Full Name (as is appears on paycheck)*

Department*

Email*

Recurring Payroll Deduction

$5.00

$10.00

$25.00

Other

Amount Selected will be deducted from your paycheck moving forward. Changes to this deduction will be available on an annual basis during the Employee Giving Campaign. Minimum of $5.00 per paycheck.

One-Time Payment

One-Time Payroll Deduction

(Minimum of $5.00)

One-time Payment Amount

Please enter a number greater than or equal to 5.

Minimum of $5.00

Please check here if you wish for your gift to remain anonymous.

I wish for my gift to remain anonymous.

Signature

Date

MM slash DD slash YYYY

All donations are tax-deductible to the extent allowable by law.

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