Page 57 - 2022 AEO Benefit Guide
P. 57
“Count Me In!”
Charitable Payroll Deduction Program
Please use this form to initiate, change, or cancel your voluntary payroll donation to the AEO Foundation.
__________________________________________________________________________________________________________
First Name Last Name
__________________________________________________________________________________________________________
Employee ID # Store # / Department
(_________)_________________________________________________________________________________________________
Work Phone Email
PAYROLL DEDUCTION
❑ New Donation to the AEO Foundation
❑ Change Donation (replaces existing donation) to the AEO Foundation
❑ Cancel Donation to the AEO Foundation
Total amount of Donation per paycheck is $ ________________________
(minimum Donation is $1 per paycheck)
________________________________________________ ______/______/______ NOTICES
Associate Signature Date
Please return your completed form to:
Abby Vanim, Corporate Responsibility Associate
77 Hot Metal Street, Pittsburgh, PA 15203
Email: VanimA@ae.com
Questions? Please call 412.432.2967
FULL TIME BENEFITS — NOTICES 55
