ࡱ> LNK bjbj΀ >(dd    <G$ b|k!M@MM=QQQM8QMQQQ0d:yU iQ20bQ"r"Q"Q0."QPlZbMMMM"d m: ϲ Faculty/Staff Payroll Deduction Gift Authorization Form Employee Information: Employee Name: _________________________________________________________________________ Last First MI Vandal ID Number: ______________________________ E-mail: __________________________________ Home Mailing Address: ____________________________________________________________________ Phone Number: Work (_______) ___________________ Home (_______) ____________________ Pledge Information: Note: Effective May 1, 2007, all new payroll deduction contributions must be for a minimum of five (5) pay periods and must be for a minimum amount of $5.00 per pay period. Please indicate where you want your contribution to be used: Effective Date: ______________________ Gift Deduction Total Designation: Gift Description: Per Pay Period Amount: For Office Use: __________ ___________________________________________ $_________ $___________ _________ __________ ___________________________________________ $_________ $___________ _________ __________ ___________________________________________ $_________ $___________ _________ __________ ___________________________________________ $_________ $___________ _________ Authorization: I hereby authorize the above deduction from my ϲ paycheck. Such amount is to be deposited currently with the ϲ Foundation, Inc., for distribution as shown. This deduction shall continue until the amount is paid in full. _____________________________________________________ ____________________________ Signature Date IRS regulations require that the donor keep a copy of their contribution form. Please make a copy for your records. Please return to: Gift Administration Office Forney Hall 117 - Campus Zip 3147 - Moscow ID 83844-3147 For information or questions contact us at (208) 885-6796 or gifts@uidaho.edu   SHAPE \* MERGEFORMAT  Last revised 6/17/2010 payrolldeduc.doc For Office Use Only First Payment: _________________________________ Last Payment: _________________________________ Pledge Number: ________________________________ Pledge Number: ________________________________ 4LMb0 } ͻ}llllll[ h*nhBCJOJQJ^JaJ hu94h=jTCJOJQJ^JaJh= CJOJQJ^JaJ hu94h; CJOJQJ^JaJh*nCJOJQJ^JaJ hu94hBCJOJQJ^JaJ#hu94hB5CJOJQJ^JaJhwhR5CJ^JaJhQhB5CJ^JaJh= CJ^JaJhQhBCJ^JaJ#4LMc1 \\#$d!%d$&d!'d$N!O$P!Q$)dh$d!%d$&d!'d$N!O$P!Q$gd*n&$d!%d$&d!'d$N!O$P!Q$gd=jT)dh$d!%d$&d!'d$N!O$P!Q$gd=jT   1 7 &$d!%d$&d!'d$N!O$P!Q$gd/g)dh$d!%d$&d!'d$N!O$P!Q$gdQ&$d!%d$&d!'d$N!O$P!Q$gdQ      0 1 = > C O ̻veYJYJY>Y>h/gCJOJQJ^Jhb=hQCJOJQJ^JhQCJOJQJ^J hQhQCJOJQJ^JaJ hb=hQCJOJQJ^JaJhQCJOJQJ^JaJ hu94hQCJOJQJ^JaJ)hu94hQB*CJOJQJ^JaJph hhQCJOJQJ^JaJ hb=hQCJOJQJ^JaJ#hu94hQ5CJOJQJ^JaJ hhBCJOJQJ^JaJO Q d f p % + 6 7 A L . ˺˺˺˺˺˺˺˺˺˺˩udu h*nhBCJOJQJ^JaJ hu94hBCJOJQJ^JaJ#hu94hB5CJOJQJ^JaJ hhBCJOJQJ^JaJ h/gh/gCJOJQJ^JaJ hu94hQCJOJQJ^JaJhQCJOJQJ^JaJh/gCJOJQJ^JhQCJOJQJ^Jhh~ahQCJOJQJ^J SlJ{n $ ra$gdu94$a$gdu94)$$d!%d$&d!'d$N!O$P!Q$a$gdQ)dh$d!%d$&d!'d$N!O$P!Q$gd#$d!%d$&d!'d$N!O$P!Q$ . 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