Wilfrid Laurier University  
 
Canadian Excellence
 

 

 

 
 
Making a Gift through Payroll Deduction
 
     
  Employee ID Number:
  Full Name:
  Email:
  Department:
  Partner/Spouse Name (if applicable):
     
  I get paid:   Bi-Weekly
      Monthly
       
  Please deduct my gift in equal installments of for each pay period
       
  Please continue this deduction... until further notice (ongoing)
      for a total contribution of $
       
  I would like to designate my annual contribution to the following:
      Student Emergency Fund -Waterloo
      Student Emergency Fund -Brantford
      Area of Greatest Need - Waterloo
      Area of Greatest Need - Brantford
      Student Awards (enter specific name if applicable)
      Other area of interest
   
   
  Please contact me about having this gift matched through my spouse/partner's company
  I wish my gift to remain anonymous
       
  This information is collected under the authority of the Wilfrid Laurier University Act for the purposes of processing your donation, keeping you informed of our programs and services, and for fundraising for Wilfrid Laurier University. Any information we receive from you will be kept private. We will not sell, rent or trade your information with anyone outside Wilfrid Laurier University. If you have any questions about how we use your information, please contact Beth Noble, Associate Director, Annual Giving at bnoble@wlu.ca or 519.884.0710 ext. 2752.