Donor Information: 

Recurring Payroll Deduction Donation Options

One-Time Payroll Deduction Donation Options: 

Donation of Cash:  

Credit/Debit Card Information
Once the form is submitted, your Debit/Credit card will charged immediately. Payment is securely processed through Stripe (

Event Donation Totals: 

Please write checks to the Charity selected by the campus.

Total Value of Non-Cash Gifts: 

Includes value of Toys, Food, and other items. $1=4 pounds of food. The cash value of the donation is what must be reported here, rather than pounds. If you have canned food items take the weight and divide by 4. 

Donation Agreement
Please read and check below: I authorize the Company to initiate my donation through payroll if applicable. If you are filling out an event entry payroll donations would not apply. Donations are tax deductible. I understand that required payroll taxes will be withheld on PTO donation amounts and only the net (after tax) proceeds will be transferred to the Trilogy Foundation. I understand that this donation is voluntary.