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Workplace Giving Authorisation Form Workplace Giving for ...€¦ · Equipment and Technology,...
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Workplace Giving for Northcott Do a good deed every pay day Join Northcott’s Workplace Giving Program The Northcott Society ACN: 000 022 971 ABN: 87 302 064 152 FOR EMPLOYERS ONLY (Give this information to your Payroll Team) Account details for payment and donation transfers: Account Name: The Northcott Society BSB: 062-223 Account Number: 11233745 Please return to: Please provide Northcott with a payment summary/remittance advice to ensure all donations are credited and processed correctly. This can be emailed to [email protected] Workplace Giving Authorisation Form Yes I would like to support people with disability, like Moustafa, to reach their potential by making a regular donation from my pay of: F $10 (cost of adaptive equipment to assist people who have upper limb weakness or the use of one hand only) F $20 (covers the cost of maintaining equipment used to assess a child's equipment requirements) F $50 (covers the cost of a Northcott speech therapy home visit so a child with disability can develop communication skills) or My choice of $ _________________ YOUR DETAILS: Company Name: _____________________________________________________ Title: ______ First Name: ________________ Surname: ___________________ Phone: __________________ Email: _____________________________________ Employee Payroll number: _______________ Department: __________________ Declaration: I understand that I am authorising my employer to deduct the above amount from my pay to donate to Northcott (to continue until cancelled in writing) Signature: ___________________________ Date: _________________________ For more information, please contact: Corporate Partnerships Specialist on 1800 818 286 or email [email protected] Northcott – Corporate Partnerships Team PO Box 4055, North Parramatta NSW 2151 E: [email protected]
Transcript of Workplace Giving Authorisation Form Workplace Giving for ...€¦ · Equipment and Technology,...
Workplace Giving for NorthcottDo a good deed every pay dayJoin Northcott’s Workplace Giving Program
The Northcott Society ACN: 000 022 971 ABN: 87 302 064 152
FOR EMPLOYERS ONLY (Give this information to your Payroll Team)
Account details for payment and donation transfers:
Account Name: The Northcott SocietyBSB: 062-223 Account Number: 11233745
Please return to:
Please provide Northcott with a payment summary/remittance advice to ensure all donations are credited and processed correctly. This can be emailed to [email protected]
Workplace Giving Authorisation FormYes I would like to support people with disability, like Moustafa, to reach their potential by making a regular donation from my pay of:
F $10 (cost of adaptive equipment to assist people who have upper limb weakness or the use of one hand only)
F $20 (covers the cost of maintaining equipment used to assess a child's equipment requirements)
F $50 (covers the cost of a Northcott speech therapy home visit so a child with disability can develop communication skills)
or My choice of $ _________________
YOUR DETAILS:
Company Name: _____________________________________________________
Title: ______ First Name: ________________ Surname: ___________________
Phone: __________________ Email: _____________________________________
Employee Payroll number: _______________ Department: __________________
Declaration: I understand that I am authorising my employer to deduct the above amount from my pay to donate to Northcott (to continue until cancelled in writing)
Signature: ___________________________ Date: _________________________
For more information, please contact:
Corporate Partnerships Specialist on 1800 818 286 or email [email protected]
Northcott – Corporate Partnerships Team PO Box 4055, North Parramatta NSW 2151E: [email protected]
Who is Northcott?Northcott is a leading not-for-profit disability service provider that works with people with disability to realise their potential.
Our work is vital — 20% of Australians have a physical, intellectual or behavioural disability. This could be congenital (from birth) or acquired through accidents, disease or ageing.
Northcott’s services include: Equipment and Technology, Everyday Life Skills, Therapy, Short Breaks and Outings, Vocational Skills Training and Employment and Housing and Supported Independent Living. Our purpose is to build an inclusive society where people can live the life they choose.
As an independent not-for-profit organisation, we rely on the generosity of individuals like you to continue to provide services to people with disability, particularly in programs where no government or limited support is available.
By making a pre-tax donation to Northcott through your payroll, you can make a difference to the lives of people with disability.
What is Workplace Giving?Workplace Giving is an easy and tax effective way for employees to make donations to a charity direct from their pay. You can choose to make a pre-tax donation to Northcott which your employer will then pass onto us.
Benefits for you as an employee:
l Quick and easy set-up
l Pre-tax donations go further – a $10 pre-tax donation costs you $6.80, but Northcott receives the full $10 (at a marginal tax rate of 32.4%)
l You receive an immediate tax benefit, so no need to keep receipts at tax time
l Know you’re making a difference to the lives of people with disability
Benefits for your employer:
l Enjoy greater staff engagement, retention and productivity
l Low administrative, high impact way to support the values of your employees
l Show your organisation’s support for Northcott through corporate social responsibility by matching your employee’s donations (optional).
Signing up is easy! STEP 1 Complete and sign the authorisation form (over page)
STEP 2 Return the completed form to your payroll manager and send a copy to Northcott.
SUPPORTING MOUSTAFA
Moustafa has a diagnosis of VACTERL association and receives therapy services from Northcott. VACTERL stands for vertebral defects, anal atresia, cardiac defects, tracheo-esophageal fistula, renal anomalies, and limb abnormalities. Donations from people like you ensure Moustafa has access to the services and supports he needs every day to reach his potential.
