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One-Time 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
Donation Amount
I'd like to deduct this amount from my first paycheck in January of 2024. 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)
Comment