Social Security Number
is required (unless cash/check contribution)
Donor Signature (for
payroll deduction)
Pink copy to
donor/contributor
White copy to Payroll
Services Department (very important)
Yellow copy to LFCC Rep
(Terra Donaldson)
2009 Donor Incentives
Soaring Eagle Mug
$360 to $479
Eagle Portfolio
$480 to $719
Porcelain Eagle
$720+
Key Worker Envelope Instructions
Complete ALL the
following information on the Key Worker Envelope:
Check Your Department
or Agency Name for Accuracy
Insert Your Full Name
Telephone Number
Full Name and Address
of Your MainPayrollCenter
Number of Employees
in Your Department or Command
Total number of
Pledge Forms in the Envelope
Total Dollar Amount
of Payroll Deduction Pledge Forms in the Envelope
Total Dollar amount
of Cash and Checks in the Envelope
Total Dollar Amount
of BOTH payroll deductions and cash/check contributions.
Submit the white copies to your PSD (Payroll Services Department)
representative and have that representative sign the key worker envelope to
confirm they have received the Pledge Forms. (This procedure must be completed
prior to delivering yellow copies of the pledge forms to the CFC
representative).
Submit the completed Key Worker Envelope, Cash/Check contributions and
yellow copy of Pledge Forms to:
Terra Donaldson, CFC Rep
Building 730 (Training Bldg A),
Wing 1 Room 103
Telephone number is 998-2007
To contact us:
Kings/Tulare Counties, PCFO
Post Office Box 878 Armona, California93202