For one-time gifts made by credit card, please visit our online donation page. Employee InformationName * Required First Last Department Extension Address * Required Street Address City Postal Code PhoneEmail * Required One-time gift I would like to make a monthly gift by credit card ** Foundation staff will contact you for more information. **Payroll DeductionAmount to be deducted per pay period * RequiredStart Date - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Gift InformationI would like to invest my gift in the following area(s): * Required Existing scholarship, bursary or memorial fund New scholarship, bursary or memorial fund Cambrian Student Foodbank Rick Fedec Hardship Bursary Equipment Renewal Fund Specific Program Varsity Athletics Alumni Endowment Fund Area of Greatest Need Other ** Foundation staff will contact you for specific designation details proper to processing. **Specific Program Details Other Details For recognition purposes * Required I prefer to remain anonymous My name should appear as.. Enter name: Does your spouse’s employer offer a Gift Matching program? * Required Yes No Unsure Today's Date - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Send me a copy of this form by email Questions about this form? Please contact Angela Gilmore at angela.gilmore@cambriancollege.ca or 705-566-8101 ext. 7526