Instructions for Filling out the SEFA Pledge Card 2009

							                                    INSTRUCTIONS FOR FILLING
                                    OUT THE SEFA PLEDGE CARD


                                 
                                         2009 CAMPAIGN
        1. State Agency Code: Farmingdale State College is 28390.

        2. Line Number: The number that identifies you as an employee found on the top of your pay
           stub.

        3. Social Security Number: Needed for payroll deduction only.

        4. Name: (Please Print) First Name, Middle Initial, Last Name.

        5. Federated Fund Number: This number is preprinted and should not be changed. This
           denotes the campaign area, or county, in which you work.

        6. Annual Pledge: Put a check mark next to the amount you want to contribute or write the
           amount in the space next to the dollar sign. Then enter the number of pay periods (26) and
           multiply your pledge by that amount and enter the total pledge on the space provided. If you
           are making a payroll deduction you need to put your signature on the line provided.

        7. Cash or check: If your donation is for cash or check, circle the appropriate letter and write
           the amount next to the dollar sign.

        8. Acknowledgement: Should you want to be thanked for your gift by the agency you are
           donating to then please print your address so you may receive it.

        9. Designation Option: Should you want your gift to go to another SEFA area then you must
           select an agency or community code from the area and enter the code(s) and amount in this
           box. The agency codes can be found in the SEFA brochure and the campaign area codes
           can be found on the back of your pledge card.



        If you have any questions, please contact the Executive Assistant to the President at
        (631) 420-2622.