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Bi-Weekly Paycheck Deduction Pledge Form
Contact Information
Name
First Name
Last Name
Email
Verify Email
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Enter Your Department or Unit Name
Yes, I'd like to make a deduction from each of my paychecks in 2024.
Donation Amount
I'd like to deduct this amount from each of my paychecks. My total donation amount for the year will be this number times 26 (the number of pay periods in a year). Enter only numbers in this field, no symbols.
Choose the Fund to Support
Fund for the Brattleboro Retreat (area of greatest need)
Endowment Fund (long term sustainability)
Children's Services (supports a new van for field trips this year)
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