Matching Fund Scholarship Appeal

YES! Please accept my contribution toward excellence!

Name _____________________________________________________________________

Title ______________________________________________________________________

Department ________________________________________________________________

Campus _______________________ 

Employee Identification # from your College identification card _______________________

SELECT ONE OF THE FOLLOWING OPTIONS FOR MAKING YOUR  GIFT:

PAYROLL DEDUCTION

____  I authorize SCCC’s Payroll Department to automatically deduct from my paycheck the amount of $________ per pay period, in order to support the Suffolk Community College Foundation.

________________________________________________

          Signature

CASH OR CHECK

____  I have enclosed a contribution of $_______________. 

Please make your check payable to SCC Foundation, Inc.

CREDIT CARD

____  I prefer to make a contribution using VISA/MasterCard.  Please call me.

Questions?  Call (631) 451-4630
The SCC Foundation Office, The Cottage, 533 College Road, Selden, NY 11784