Daffodil Campaign Payroll Deduction Form

Daffodil Campaign Payroll Deduction Donation

When you donate to the Canadian Cancer Society (CCS), you fund the brightest minds in cancer research to improve and save the lives of people with all types of cancer. You power a compassionate national support system to ensure no one faces cancer alone. And you help create health policies to make life better for Canadians affected by cancer. With your support we can change the future of cancer forever.

Daffodil Campaign Donation Via Payroll Deduction

Please complete and submit this form only if you wish to make a personal donation to the Daffodil Campaign during the month of April. The money will be deducted directly from your pay cheque on the pay period indicated.

Your Name(Required)

Email(Required)

(To send a copy of your selections.)

$ Amount to Deduct April 15

$ Amount to Deduct April 30

Consent for Direct Payroll Deduction(Required)

I agree to allow Primco HR to make a Direct Payroll Deduction in accordance with the choices I've made above. I understand any tax receipts will be issued directly by the Cancer Society Daffodil Campaign.

Would You Like a Tax Receipt for this Donation?

Yes

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone