Payroll Deduction Donation
MCC faculty, staff and alumni coming together to raise funds for student scholarships.
METHOD OF PAYMENT
First Name MI Last Name
Complete this donation form, sign, date and return to Institutional Advancement, Student Services Center, L231, or mail to MCC Foundation Scholarships, MS #6, Great Path, P.O.
Box 1046, Manchester, CT 06045-1046. MCC Foundation, Inc. is a 501(c)3 non-proﬁt organization. Your gift is tax deductible to the extent allowed by law.
Street Address Apt. No.
City State Zip
Cell Phone Home Phone Email
I authorize Manchester Community College to deduct the amount indicated below from my paycheck.
Deduct recurring gift of $_____________ per pay period
Change my current payroll deduction to $_____________ per pay period
Deduct a one-time gift of $_____________ from my next paycheck.
Make my donation anonymous
If MCC grad, grad year Please select one
Please select one