Sample Pledge Form

Sample Pledge Form

  1. Contribution: Employee selects either to give a one-time donation or through their paycheck.
  2. Selecting: Employees can select up to three charities to support or can opt to have their donation divided between all the charities.
  3. Employee Information: Required information is determined by company’s Human Resource department. Community Shares and its member charities use your information to send thank you letters and informational materials. Donors can opt to remain anonymous if they wish.
  4. Copies: One copy of the pledge form goes to the company’s payroll and/or human resources department. The second copy goes to Community Shares. The final copy goes to the employee to serve as a receipt for their donation.
  5. List: The back of every pledge form lists organizations to donate to through the workplace fundraising campaign.

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