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Payroll Deduction Form

As a proud member of the Edinboro University faculty and staff, you play an integral part in the success of our institution. Through payroll deduction, you can contribute to Edinboro University, our students, and our community as we work together to create an environment that prepares students for the future.

To learn more about all the ways you can support Edinboro University, contact University Advancement, at 814-732-2992 or advancement@edinboro.edu.


Personal Information
First Name: 
Last Name: 
Campus Address: 
City: 
State: 
Zip: 
Work Phone: 
Email: 

Please use my donation for: 
If other, please specify: 

Payroll Deduction
I authorize Edinboro University to deduct: 
If other, please specify amount: 
Deduction Length: 
Number of Pay Periods: 
This is a: 
Banner ID: 

 



THANK YOU!
All gifts to Edinboro University are tax deductible as provided by law.