Last Name
First Name
Middle Initial
Street Address
City
State
Zip
Department
Phone
Email
Yes! I would like to support Presbyterian College.
PC Fun
d $___________
Scotsman Club $_________
Other (please specify) $__________________________________
TOTA
L GIFT $______________________ Per Pay Period Bi Monthly
On
e Time Monthly
1. Payroll Deduction:
Begin my deduction ____________ _________. End my deduction ____________ __________.
Month Year Month Year
I w
ould like this gift to be in addition to my current payroll deduction.
I would like this gift to replace my current payroll deduction.
If an
end date is not noted, the deduction will continue to roll over each year until the employee notifies the Payroll Office or the
Advancement Office to increase, decrease, or discontinue the deduction.
2. Ch
eck
Check enclosed $___________payable to Presbyterian College
3. Cre
dit Card
Charge $_______ to my
Mastercard Visa American Express Discover Card Number___________________________
Exp
iration Date___________ Security Code_________
Pleas
e charge my credit card monthly (recurring) for ____ months or only once ____
If your spouse’s company matches gifts, please submit the matching gift form to advancement so your gift can be doubled!
Employee Signature ________________________________________ Date __________________
Return completed form to Becky Fortman in
Advancement. Call 864.833.8320 if you have questions.
Remember: Our fiscal year ends June 30
click to sign
signature
click to edit
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