* NEW -Information on Hurricanes Gustav & Ike Disaster Relief Organizations; More Info... *
How to complete your Pledge Form...
Fill in your personal information: Please provide a daytime phone number. It will be helpful to the CFC Key Workers and Project Officers in case there is a question about your pledge card.
For payroll deduction giving: In the AMOUNT column, write the amount of your gift per pay period or per month.
Under TOTAL
GIFT, write in the annual amount of your gift.
Sign and date the pledge card if you are pledging by payroll deduction: Provide your Social Security Number (SSN) or Employee ID
in the specified block. Your SSN or Employee ID will only appear on the Payroll Office copy of the pledge form.
If your are giving by
cash or check, no SSN or Employee ID is required.
Minimum amount limit: The minimum payroll deduction per pay period for civilians is $1.50. The minimum payroll deduction per
month for military is $2.00.
For cash or check donations: Circle either Cash or Check and write in the amount of your gift. Please make checks payable to CFC or
Combined Federal Campaign.
Designating your gift: Fill in the five-digit code number of the charity or charities you select. There is an alphabetical index at the back
of the brochure which lists all the charities, and their five-digit codes, which are participating in our campaign.
Under ANNUAL
AMOUNT, write in that portion of your total gift which you are designating to a specific charitable organization. If you designate
multiple charities, please assure that the sum of the individual donations equals your total annual donation.
No five-digit code write-ins, please: CFC regulations prohibit write-ins of charities you may prefer. You may only designate charities
listed in this brochure. CFC regulations state that designations to unlisted organizations will automatically become “undesignated”
donations.
Recognition Options: This block permits you to enter your name and home address, or home e-mail address, should you wish to
authorize the CFC to release your personal information to the charity/charities that you designate on this form. Without your
authorization, the CFC is prohibited from releasing your name to the organization(s) you support.
If you also wish the CFC to release the
amount of your pledge(s) to your designated charities, you must check the “Yes” box at the bottom of the Recognition Options box.
Copies of the pledge form: Detach copy #3 (pink copy) and retain for your personal records. Return the cover page, the original (white
copy), and copy #2 (yellow copy) to your Key Worker or campaign solicitor.
Leadership Givers: If you are a leadership giver – Bronze, Silver, or Gold Eagle – circle the gift you qualify for and would like to
receive.