Centennial College - Donation Increase

I am a Centennial College employee and I would like to increase my gift through bi-weekly payroll deductions by

Other Amount

Employee ID Number

I am a monthly donor and would like to increase my monthly gift by

Custom Amount

First Name *

Last Name *

Street Address *

Province *

City *

Postal Code *

Phone Number *

Centennial College Extension

Email *

Centennial College Campus and Room Number

Please continue this gift until

Number of payroll deductions

Please direct my gift to

Direct my gift to

This gift is in memory of

I would like the Office of Development and Alumni Engagement to contact me for further information

I would like to remain anonymous

Consent for storing submitted data *

Yes, I give permission to store and process my data