Employee Payroll Deduction

Your dedicated work as a Central Piedmont employee transforms student lives and strengthens our community. Thank you in advance for expressing your "why" with a gift to the college. Your support is truly appreciated.
 
Please complete the form below to authorize your payroll deduction gift. Forms submitted after the 12th day of the month may be processed the following month.

* Indicates required field

Contact Details

Employee ID *
First Name *
Last Name *
Email *
Phone *
Employee Status *

Gift Details

Monthly Gift Amount (recurring deduction from paycheck)
$
One-Time Gift Amount (one-time deduction from next paycheck)
$
*Forms submitted after the 12th day of the month may be processed the following month.
I wish for my gift to be deducted from my paycheck indefinitely. *
End Date for Monthly Gift Deduction *
*If you selected monthly deduction, please list your desired end date for the deduction. If you wish to continue the deduction without an end date, please type "indefinite."
Gift Designation *
If Other, please specify Department/Program
*If you would like to split your donation between funds, please contact us at info@cpccfoundation.org.

Honor/Memorial Giving

My gift is...
Name

Whom Should We Notify of Your Honor/Memorial Gift?

Name to Notify
Address
City
State
Zip

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