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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:
Pledge Amount
Giving Recognition Levels
Pledge Total gift

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

*I would like to pledge $ per pay period.1
  This will generate $0 over a 12-month period.

1 Your pledge can be changed or canceled at any time. E-mail for more information.