2018 FLFC Employee Deduction Form

EVENT INFO

FRIDAY, FEBRUARY, 9 2018

McCormick Place
2301 S. Lake Shore Drive
Chicago, Illinois 60616

HOSPITALITY SUITE OPENS	SHOW FLOOR OPENS
6:00 pm CT	7:00 pm to 11:00 pm CT

FIRST LOOK FOR CHARITY’S ATTIRE FOR MEN IS
TUXEDO-MANDATORY, AND WOMEN SHOULD
BE DRESSED APPROPRIATELY.

The Men's Wearhouse is proud to offer $40 off your tuxedo rental for the Chicago Auto Show's First Look for Charity 2018 gala. The Men's Wearhouse will donate another $5 to the charities supported by First Look For Charity when you book under group # 6967450. Orders should be booked by February 2, 2018, to avoid paying a rush fee.

Find a convenient Men’s Wearhouse, and see the booking code to mention when you get measured.

EMPLOYEE PAYROLL DEDUCTION FORM

FULL NAME

NICKNAME

EMPLOYEE ID:*

DEPARTMENT OR LOCATION*

no abbreviations

JOB TITLE*

ADDRESS*

Street Address

Street Address Line 2

CityState

Zip Code

PREFERRED PHONE NUMBER*

Area CodePhone Number

PREFERRED PHONE TYPE*

PREFERRED EMAIL*

TICKETS & TRANSPORTATION

# OF TICKETS ($275)

NAME OF GUEST

TRANSPORTATION FEE ($20/person)

I AM UNABLE TO ATTEND, BUT I WOULD LIKE TO DONATE:

PAYROLL DEDUCTION INFORMATION

I AUTHORIZE MY EMPLOYER TO DEDUCT THIS PURCHASE OR DONATION FROM THE PAY PERIODS INDICATED BELOW. PLEASE USE THE SUBMISSION OF THIS FORM AS AUTHORIZATION TO PROCESS THIS DEDUCTION FROM MY PAYCHECK

THE DEADLINE FOR PURCHASES & DONATIONS
VIA PAYROLL DEDUCTION IS
FEBRUARY, 2 2018

SELECT PAYROLL DEPT THAT ISSUES YOUR PAYCHECK*

TOTAL AMOUNT

DEDUCT MY PURCHASE OR DONATION FROM:*

You will be deducted {input100} for {deductMy}

For more information about the event please visit our website or

contact Kelly Mager at 708.747.4000, ext. 85472.

I wish to give anonymously