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San Diego CountyCombined Federal Campaign

2014 Pledge Forms

“Give a little. HELP A LOT.”

MAKING A PLEDGEThe Pledge Card

• Ensure to fill out entirely and legibly

• No Cash or Checks this year!– Cancelled because it costs more to

handle and process than what’s usually donated

• Blue Copy to Payroll Office (in Keyworkers’ Blue Envelopes)

• White Copy to CFC Office (Up to 25 in Keyworkers’ White Envelopes)

• Pink Copy to Donor

• Ensure number amounts in Blue Envelopes match the same amount in the White Envelopes

Blue Copy to Payroll Office (Will go in Key Worker’s Blue Envelopes)

White Copy to CFC Office (Up 25 Copies will go in Key Workers’ White Envelopes)

Pink Copy to Donor

Blue Copy (Top Half)

D O E, J O H N A.

1. Print Last Name, First Name, Middle Initial

C o D, 1 s t B n, R T R, M C R D

2. Military Command or Federal Agency, office

3. Work Phone: Where you can be reached during the work day4. Circle in: MILITARY or CIVILIAN

5. Select Donation Amount for 1 of the 4 circles provided OR…

2 48

6. Write in Monthly Donation Amount and Total: Ensure Total is divisible by 24 or 26 MINIMUM DONATION IS $1 PER PAY PERIOD (NOT LESS THAN $24 ort $26 ANNUALLY)

Use Ball Point Pen PRESS HARD!

Blue Copy (Top Half cont’d)

D O E, J O H N A. C o D, 1 s t B n, R T R, M C R D

2 48

6. Select a Charity Organization from Charity List Booklets, find 5-Digit Code

7. Enter 5-digit code; may choose more than one charity

1 2 3 4 5 6 7 8 9 0

8. Enter Annual Amount to Each Charity

24 00

24 00

9. Enter Total, Should Equal Total Annual Donation

48 00

10. Information Release to Charity Organization :(OPTIONAL)

Blue Copy (Bottom Half)

123 Home St.

Hometown IL 12345personalemail@internet.com

11. Fill in Full Social Security: payrollrequirement (USPS can use EIN)

123 45 6789

12. Signature and Date

John A. Doe

15 Sep 2014

13. Select Recognition Item if eligible and desired ( $600-1199 CFC Coin) ( $1200+ CFC Eagle)

D O E, J O H N A. C o D, 1 s t B n, R T R, M C R D

N/A

2 48

1 2 3 4 5 6 7 8 9 0

24 00

24 00

48 00

123 Home St.

Hometown IL 12345personalemail@internet.com

123 45 6789John A.

Doe15 Sep 2014

14. Ensure Pledge Form is Completely Filled Out

Ensure These Amounts Match

N/AD O E, J O H N A.

C o D, 1 s t B n, R T R, M C R D

2 48

1 2 3 4 5 6 7 8 9 0

24 00 24 00

48 00

123 Home St.

Hometown IL 12345

personalemail@internet.com

123 45 6789

John A. Doe

15 Sep 2014

15 Sep 2014

15 Sep 2014

15. Thank & Give Pink Copy to Donor

16. Ensure White Carbon Copy information filled out. Hand write in if illegible.

Co D, 1st RTBn, RTR

Capt I. M. Awesome 619-524-0948

1. Place Blue Copies into Blue Envelope2. Turn in Envelopes to Coordinator or as directed3. Coordinator ensure blues get to appropriate payroll office 4. USPS (only) turn all blues into CFC office with white copies

DOE, J O H N A. 140915 48.00

1. Place up to 25 White Copies in Tally Envelope

ALLEN , MARCUS A. 140915 60.00

BROWN, J EFF C.

COOPER, MATT F.

140915

140915

FLETCHER, J ACK C.

240.00120.00

140915 600.00 XSMITH, JOSEPH S. 140915 1200.00 X

Ensure amounts are divisible by 24/26

2268.00 1 1

Add Annual Totals at the Bottom

DOE, J O H N A. 140915 48.00

2. Do not add Intranet / Online Pledges to Tally Envelope, Online donations are tracked Online

ALLEN , MARCUS A. 140915 60.00

BROWN, J EFF C.

COOPER, MATT F.

140915

140915

FLETCHER, J ACK C.

240.00120.00

140915 600.00 XSMITH, JOSEPH S. 140915 1200.00 X

2268.00 1 1

3. Place up to 50 Pledge Forms inside Tally Envelopes into a Collection Envelope.

4. Fill In Red Box Information

2268.00 Capt I. M. Awesome

619-524-0948

5. Fill in your CFC ID # (you can find it on CFC website or ask Coordinator)

7605 RTR, MCRD SAN DIEGO

• Questions? Please Call:

• CFC Office at 858-636-4114/5/6/7