GL@20 donations from Staff and Associates

Position at GL*

HQ Staff Name*

Associate Name*

Service Provider Name*

Email*

What % of your salary or monthly invoice would you like to contribute to GL?*

Please enter amount*

Please enter a value greater than or equal to 10.00.

Frequency of your contribution to GL@20?*

Once off
Montly

Tick the month(s) this amount should be debited from your salary*

Comment

Authorisation

I agree

By ticking the Agree box below, you are indicating that you have read and understood this form and give consent to GL to deduct the stipulated amount from your salary or invoice payment.

GL@20 donations from Staff and Associates

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