Donors & Friends

 

Voluntary Payroll Deduction Form
Please process the following deduction from my payroll:
Employee Name:  
Employee E-mail:  
Whitworth Fund
(820) Annual Fund Contribution
    Total Deduction: $
    Pay Period Deduction: $
    Number of Payments
    P/R Deduction to Begin:
 
 /  / 
    P/R Deduction to End:
 
 /  / 
(820B) Annual Fund Contribution Additional
    Total Deduction: $
    Pay Period Deduction: $
    Number of Payments
    P/R Deduction to Begin:
 
 /  / 
    P/R Deduction to End:
 
 /  / 
Restricted Giving
(821) Miscellaneous Fund Contribution
    Total Deduction: $
    Pay Period Deduction: $
    Number of Payments
    P/R Deduction to Begin:
 
 /  / 
    P/R Deduction to End:
 
 /  / 
I want my contribution to go toward:
    Description:
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