New England College of Optometry · Employee Payroll Deduction Donation Form

Employee Payroll Deduction Donation Form

NECO is a purpose driven organization, which is why our mission is to change the way people see the world. We do this every day because of you, your dedication to the success of our programs, and your personal commitment to optometric education and eye care. With NECO Workplace Giving, employees can easily experience the rewards of giving through automatic payroll deductions, either one time or with each pay cycle.

Employee Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone

Department

Donation Information

One-time Payroll Deduction: You can provide support to NECO with a one-time contribution that is automatically deducted from your next paycheck This donation will not be repeated.

Recurring Payroll Deduction: You can provide support to NECO with recurring contributions that are automatically deducted from your paycheck each paycycle. You will retain complete control of your giving and may increase, decrease, or suspend your contributions at any time. You can also choose to time bound the deductions or allow for deduction in perpetuity.

Please select a recurrence

One-Time

Recurring

One Time: Please select an amount

$1,000.00

$500.00

$250.00

100.00

$50.00

$25.00

$5.00

Other Amount

Recurring: Please select an amount

$6/paycheck or $156 over 26 pay periods

$10/paycheck or $260 over 26 pay periods

$20/paycheck or $520 over 26 pay periods

$40/paycheck or $1,040 over 26 pay periods

Other Amount

Recurring: Please select how long you would like this gift to be deducted

Please continue my gift indefinitely

For 26 pay periods/ 1 year

Other time frame

Enter the amount of pay periods that you would like your deduction to last

Other Fund: