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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 Your E-mail Address

Full Name 

Campus Address 

City       State       Zip 

Work Phone  

Please use my donation for:  

Other:

PAYROLL DEDUCTION
I authorize Edinboro University to deduct: (check one)
$50     $25     $20     $15     $10     $5   Other: 

Until further notice
OR
number of pay periods

This is a
new/additional payroll deduction
OR
replace current payroll deduction.

Banner ID Number:


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