join the payroll deduction program

Looking for a
meaningful, rewarding
and easy way to
make a positive difference
in the lives of Canadian children?
JOIN THE CLUB’S PAYROLL DEDUCTION PROGRAM
Payroll Deduction program:
bring employees together around a common cause!
WHY CHOOSE
THE CLUB?
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HOW IT WORKS
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You can trust your donation will support breakfast
programs for children – nothing else:
• It doesn’t get filtered down to other organizations
• Our core administration expenses are less than 3%
No matter the amount, your donation goes a long way;
$1 = 1 breakfast
Your support will help children all over Canada, including
in First Nation, Métis and Inuit communities
The need is high: currently, 1 in 5 Canadian children is at
risk of going to school hungry; that is nearly 1 million
students you can help reach
Via your payroll department, each employee sets the
amount they want to have automatically donated
There are no fees for the receiving organization or the
participating company, so it’s easy to make a significant
donation to a cause close to your heart
BENEFITS
PROMOTES a greater sense of belonging within your organization
ENCOURAGES a feeling of pride, purpose and loyalty
MOTIVATES employees by giving them a stimulating challenge to meet
FOSTERS synergy within your workforce
STRENGTHENS your corporate social responsibility and brand image
Upon the start of your participation, you will receive a virtual banner recognizing
your support to the Club, for your employees to use in their email signatures
*
* Designs will vary. Holiday version shown above.
Get on board!
PAYROLL DEDUCTION PROGRAM FORM
Company name*: Employee’s family name*: Employee’s first name*: Employee’s number*: Address*: City*: Postal Code*: Telephone: Province*: Email: PLEASE SELECT THE TYPE OF DONATION YOU WOULD LIKE TO MAKE:
RECURRING DONATION
PD (Payroll Deduction)
Choose how much of your donation you want deducted from each pay (based on 26 pays a year).
Please deduct $ from each paycheck as my gift to the Club ($5 minimum)
I want deductions to start with my next pay.
If this box is not checked, please indicate the date you would like to start participating
in the campaign: The total annual amount of your donation will be indicated on the income tax forms (T4 and RL-1) prepared by
your employer so that you can declare the deduction on your annual income tax report.
Note: this authorization can be cancelled at any time.
ONE-TIME DONATION
I wish to participate in the campaign with a one-time donation in the amount of $ By credit card VISA Master Card Amex
Card number: Name: Expiration date: /
Signature: * Please submit your credit card payment to the following department:
By cheque (made out to the Breakfast Club of Canada)
Total amount of donation: $ * Canada Revenue Agency requires that the donor’s personal address appear on the charity donation receipt
issued by Breakfast Club of Canada.
Opt in to receive our newsletter by sharing your email address: About
Breakfast Club of Canada
At Breakfast Club of Canada, we nurture potential and grow healthy students, giving
an equal chance to all kids, one breakfast at a time.
Supported by 11,000 volunteers and a growing number of private and public-sector
partners, we ensure that more than 167,000 Canadian children start their school day
with a healthy breakfast in an environment that fosters their self-esteem.
HELP THEM SOAR
MENU
AMOUNT
IMPACT
$1
1 Breakfast
$5
Feed a child for a week
$20
Feed a child for a month
$165
Feed a child for a year
Learn more and contact us
www.breakfastclubcanada.org • www.facebook.com/BreakfastClubDejeuner
Benjamin Neumer: [email protected]
411–470 Granville Street, Vancouver, British Columbia, V6C 1V5
T. 604 685-2220 • 1 866 794-4900