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NKSFB, LLC Pledge Form
Your Contact Information
Employee #
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Last Name
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First Name
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Email
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Home Address
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City
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State
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Postal Code
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Country
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USA
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Denotes required fields
Gift Details
Payment Method:
Payroll Deduction - Per Pay Period
Payroll Deduction - One Time
I wish to donate now with a Credit/Debit Card - One Time
Donation Amount (US $)
Amount: $
Credit Card Num
Exp. Date (MMYY)
CVV
I do not wish to receive communications from St. Jude.
PLEDGES OF $10 OR MORE PER PAY PERIOD will receive a St. Jude T-shirt
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Please select t-shirt size:
No T-Shirt
Small
Med
Large
XL
XXL
XXXL
I authorize NKSFB, LLC to deduct the amount selected from my paycheck each pay period as a charitable contribution from me to St. Jude Children’s Research Hospital. I understand that deductions will be made from my post-tax wages. As such, I am responsible to pursue any income tax deduction that I may be eligible to receive when filing my individual income tax return. I further understand that I may cancel my donations at any time by providing written notice to NKSFB, LLC Payroll at least 10 days prior to the effective scheduled pay date chosen.
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The card will be processed by Global Charitable Fund (DonationXchange) a 501(c)3.
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