Fillable Employee Gift /  Payroll Deduction Form (Roger Williams University)

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Employee Gift /  Payroll Deduction Form (Roger Williams University)

On average this form takes 17 minutes to complete

The Employee Gift /  Payroll Deduction Form (Roger Williams University) form is 1 page long and contains:

  • 1 signature
  • 5 check-boxes
  • 61 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Roger Williams University

BROWSE ROGER WILLIAMS UNIVERSITY FORMS

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Faculty Staff Adjunct
Mr/Mrs/Ms/Dr First Name Middle Initial Last
Department Location
Work Email Address
Home Mailing Address
City State Zip Home Phone
This is a joint gift:
Mr/Mrs/Ms/Dr First Name Middle Initial Last
Please recognize my gift as:
Please print name(s) as you would prefer to see it listed on the annual donor honor roll
I wish to keep my gift anonymous
PAYROLL DEDUCTION OPTION
New deduction Replace existing deduction Stop existing deduction
I authorize my gift to be made via payroll deduction Signature:
Amount of Pledge (based on 26 pay periods):
Length of Pledge:
$50.00 per pay period ($1,300 per year)
$40.00 per pay period ($1,040 per year)
$25.00 per pay period ($650 per year)
$10.00 per pay period ($260 per year)
For as long as I am employed by Roger Williams University
1 Year, beginning
2 Years, beginning
3 Years, beginning
Other, $
per pay period
Other
, beginning
ONE TIME GIFT or visit https://www.rwu.edu/giving/how-make-gift/make-a-gift to donate online
I wish to make a one-time gift in the amount of $
Cash
C Check enclosed (payable to Roger Williams University) Check No.
Credit Card:
MasterCard
American Express
Discover
Credit Card No:
Exp. Date:
Month / Year
Please use my gift for the purpose indicated below:
UC Annual Fund
RWU Annual Fund
RWU Law Annual Fund
The Campaign for Civic Scholars
School of Engineering, Computing and Construction Management (SECCM)
Blue & Gold (Athletics)
Other
(Please specify)
PLANNED GIVING
Please send me information about naming Roger Williams University in my will.
Please inter-office or send this form to: Roger Williams University
Office of Annual Giving
One Old Ferry Road
Bristol, RI 02809
advservices@rwu.edu
Phone: 401.254.3071
Fax: 401.254.3553
FACULTY/STAFF EMPLOYEE GIVING FORM
CVV:
__________
19DMOS1
________________________________________
RWU
RWU Law
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Employee Gift Payroll Deduction Form (Roger Williams University)

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Completed 23 July 2020

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