St. Pius X Employee Contribution Form Name: ____________________________________________________________________________________
Payment options: Option 1: PAYROLL DEDUCTION
❒ I would like St. Pius X to deduct $ _________________________ from each paycheck beginning (date) ___________________ for (purpose) ______________________________________________________. (area of greatest need, alumni brick, or specific program) Option 2: CREDIT CARD
❒ Please charge $___________________ to my credit card. (Circle One) Visa / MasterCard I American Express for (purpose) ______________________________________________________. (area of greatest need, alumni brick, or specific program) Card #____________________________________________________ Exp. Date _______________________ Sec. Code ______________ Billing Zip Code _______________________ You may also make your gift online at www.saintpiusx.com/give.
Option 3: CASH/CHECK Enclosed is my gift of $ __________________ for (purpose) _________________________________________. (area of greatest need, alumni brick, or specific program) How would you like to be listed in our publication of donors? _________________________________________________________________________________________
❒ I would like my gift to be anonymous. I would like to make my gift ❒ in honor of or ❒ in memory of: ________________________________________ Employee Signature: ________________________________________ Date: __________________________ Please return this form to Erica Peña (in the Administration Building) or scan and email erica.pena@spxabq.org. Thank you for your support of the Annual Fund!