Colleague Giving Payroll Deduction

Choose your payroll deduction gift:

All gifts made through payroll deduction will be spread evenly across 24 pay periods. If you select the option of "Other," please enter the total annual gift amount - your bi-weekly payroll deduction amount will be calculated accordingly.

Select your gift below:

$5 per pay x 24 =

$120.00

$10 per pay x 24 =

$240.00

$15 per pay x 24 =

$360.00

$25 per pay x 24 =

$600.00

$50 per pay x 24 =

$1,200.00

Other

$

*

Designation:

Now tell us about you.

We ask for your Employee ID so that we can establish your payroll deduction.

Anonymous:

I would like this gift to remain anonymous

Comments:

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