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Employee Payroll Pledge Form

Please use this secure form to submit a payroll deduction request. We respect your privacy and will never give your information to a third party without your consent.

Note: Items marked with a * are required.

Employee Information
*
*
Pledge Information
*Please apply my gift to:
 

In honor or memory of:
*Recognition: 
Pledge Amount
Giving Recognition Levels
Pledge Total gift1
$2,500
$1,851
$1,000
$500
$100

Refer to e-mail from Development staff for your current pledge information.

*I would like to pledge $ per pay period.2
  This will generate $0 over a 12-month period.

1 Total gift must be received by June 30, 2016 to be recognized in the 2016 Columbia College Annual Report.
2 Your pledge can be changed or canceled at any time. E-mail ccgiving@ccis.edu for more information.