INSTRUCTIONS FOR REPORT ENVELOPE
Department Information
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Department - Please provide your full department name, do not use abbreviations or initials.
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Division - Please provide your division name, do not use abbreviations or initials.
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Address - Please provide your department's mailing address.
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City, Zip - Please provide your department's city and zip code.
- Director's Name - Please provide the name of your department's director.
Pledge Summary
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Payroll Deduction - Please provide the total number of contributions that are payroll deductions, the total amount pledged through payroll deductions.
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Cash Pledges - Please provide the total number of cash contributions, the total amount pledged and payments enclosed.
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Totals - Add up number of contributions from payroll deductions and cash pledges, add up the amount pledged from payroll deductions and cash pledges, and add up the payments enclosed (amount of cash pledges).
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Employee Summary - Number of full time employees who contributed and number of part-time employees who contributed (equals the total number of contributions from payroll deductions and cash pledges).
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Your Name and Phone Number.
