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					lasting impact

Please consider
   a donation during this year’s
                 Charitable Fund Drive!
                                                                                                                                                                       Giving online is easy and secure:                                       Prefer paper? Use the pledge form
giving back                                      Your gift will have an impact!                                                                                          1) Go to and click on “PLEDGE NOW”                    on the back of this brochure!
                                                                                                                                                                         2) Click “LOG IN” and enter the “iPledgeOnline” giving site                F
                                                                                                                                                                                                                                                 •	 	 ind	charities	by	asking	your	office’s	Charitable	Fund	Drive	
There’s no better time — or                      When you give through the Charitable Fund Drive, your money is going to work to help people like:
                                                                                                                                                                            by typing in your:                                                      Coordinator for the “Giving Guide” booklet. If you don’t
easier way — to give back to
                                                                                                                                                                                                                                                    know who your site’s Coordinator is, call 503-528-2783 to ask.
the charities you care about                                                                                                                                                 » Username = your employee ID number, including all
most. The Charitable Fund                                                                                                                                                      zeroes (and which begins with “OR” if you work for a                 Y
                                                                                                                                                                                                                                                 •	 	 ou	can	also	find	charities	by	searching	online	(go	to	ecfd.or-
                                                                        A mother who found a career by                             A couple who learned parenting
Drive is your opportunity to                                                                                                                                                   state agency)                                              , then click on “Pledge Now”.) You do not have to log
                                                                        getting free training to work in the                       skills to become even better
give back to your favorite non-                                                                                                                                                                                                                     in, just click “MAIN MENU – charity lookup tool” at the top
                                                                        building trades.                                           parents for their three children.         » Password = either the password you chose in 2010
profits working for Oregon’s                                                                                                                                                                                                                        left of your screen. Also, a spreadsheet of all eligible charities,
                                                                                                                                                                               (if you pledged online last year) OR your first name
families, health, housing, arts                                                                                                                                                                                                                     in alphabetical order, is available at
                                                                                                                                                                               and last name in ALL CAPS, with no space between.
and culture, animals, equality,                                                                                                                                                (example:JANEDOE)                                                    I
                                                                                                                                                                                                                                                 •	 	 f	you	use	the	Employee	Giving	Guide,	consult	the	charity	
                                                                        A child, who experienced an                                A dog, which was given a second
and environment.                                                                                                                                                                                                                                    list starting on page 4 to determine the Charitable Fund Drive
                                                                        ancient forest for the first time                          chance to be adopted instead of         If this is your first time pledging online, you will be asked for
                                                                        at a nature camp.                                          being euthanized.                                                                                                code numbers for your chosen charities. Do NOT re-use
Pledge now to make a pay-                                                                                                                                                  your email address and your state agency and location.
                                                                                                                                                                                                                                                    code numbers from last year; they change each year. You can
roll contribution or make a                                                                                                                                              3) If you want to search for charities, you don’t even need to             also give a general gift to the Charitable Fund Drive by writ-
one-time credit card or cash                                                                                                                                                log in. Under “Main Menu”, click “Charity Lookup Tool” to               ing in code #5000.
gift. Payroll contribution is                                           A young girl whose cancer went                             A single mother and her two kids         search for individual charities or learn more about the um-
budget-friendly, and your gift                                          into remission thanks to new                               are now first-time owners of an                                                                               •	 Fill	out	your	pledge	form	completely	and	be	sure	to	sign	it.
                                                                                                                                                                            brella groups that make up the Fund Drive. You can search
can be split up among as many                                           advances in cancer treatment.                              affordable and decent home.              for names, counties, and other keywords. If you’re logged in,        •	 Make	a	copy	of	your	pledge	form	for	your	records.
charities as you wish.                                                                                                                                                      you can start selecting and pledging to charities as soon as you        T
                                                                                                                                                                                                                                                 •	 	 urn	in	the	original	of	your	pledge	form,	and	any	cash	or	
It’s easy; log on today!                                                                                                                                                    find your favorites.                                                    check you have donated, to your office’s Charitable Fund
                                                                        A group of students who learned                            A child, who discovered the                                                         political organizing skills and now                        healing power of art while in
                                                                                                                                                                         4) Enter your pledge amount; allocate your gift to your charities;         Drive Coordinator.
                                                                                                                                                                            provide contact information.                                            Y
                                                                                                                                                                                                                                                 •	 	 ou	will	receive	acknowledgment	of	your	gift	via	email	or	US	
                                                                        advocate for immigrant rights.                             the hospital.
                                                                                                                                                                         5) Submit your pledge – and you’re done! Your gift will start              Mail, depending on the contact information you provide.
                                                                                                                                                                            with your first paycheck of 2012.

For more information, or to pledge now, visit                                                                                                                                                                                                For more information, or to pledge now, visit
                                     Oregon Employees Charitable Fund Drive 2011
Please print clearly and complete all necessary boxes below. Make a copy of this form for your records and give this original to your office’s Fund Drive
Coordinator or mail to: Charitable Fund Drive, c/o Children’s Trust Fund, 1785 NE Sandy Blvd, Suite 270, Portland, OR 97232

 Employee Name                                                     State Agency                                         Employee ID #
                                                                                                                        (if payroll contribution)

 City of Workplace                                                County of Workplace                                   Work Phone

Please provide the following information so that we can acknowledge your gift for tax purposes:

   Email Address - help us save paper and postage!

   Address                                               City                           State         Zip

   Please do not pass my information along to my chosen charities — I’d like to remain anonymous.

                                                           CHOOSE YOUR NONPROFiT ORGANiZATiONS

To designate one or more agencies or federated groups that appear in the brochure, fill in the agency or federation number(s) and the annual dollar amounts.

             Agency Code                                 Annual Amount                               Agency Code                                        Annual Amount

                                CHOOSE PAYMENT METHOD                                                                                  MAkE iT OFFiCiAl

 Payroll Contribution: _________________ x _____________ = $ ______________                                         I authorize the State of Oregon, as my employer, to
                            [amount per paycheck]        [# of paychecks]                                         withhold from my salary the amount as indicated to the
                                                                                                                   left beginning on January 1, 2012 paid directly to the
 Cash (please attach): $ ___________________________________________________                                             funds and/or federations I have indicated.

 Check (make payable to Charitable Fund Drive): $ ______________________________

                                                                                                                           Signature (needed for payroll contribution)
 Credit Card (fill out information below): $ ____________________________________
 [Credit card contributions are processed by Children's Trust Fund of Oregon]

     VISA                                                                                                                                           Today’s date
                                 Card Number: _____________________________________
                                 Expiration Date: ___________________________________                              My gift of $500 or more qualifies me to
                                                                                                                   receive a Governor's Cup .
                                 Signature: ________________________________________
                                                                                                                        Please do not send me a Governor's Cup.

                                     Thank you for investing in what you care about!
                                 Find organization code numbers and more at
           Black United Fund of Oregon  •  Children’s Trust Fund of Oregon  •  Community Health Charities of Oregon  •  EarthShare Oregon
Equity Foundation  •  Habitat for Humanity of Oregon  •  Local Independent Charities  •  MRG Foundation  •  United Ways  •  United Funds  •  Work for Art

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