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    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 $ 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 Sean Thomas, Director, Advancement Services at sthomas@wlu.ca or 519.884.0710 ext. 3866.