Employee Payroll Deduction Form

Employee Payroll Deduction Form
Thank you for supporting McKendree University by enrolling in our Payroll Deduction Program. The continued generosity of our own Bearcat family through these monthly gifts is a testament to your commitment to our students and an investment in the future of McKendree. Together our gifts make a BIG impact!
Name*

First NameMiddle NameLast NameSuffix
Email*
example@example.com
McKendree Phone*
Cell Phone*
Please enter a valid phone number.
I hereby authorize McKendree University to deduct the following amount each pay period:*

$84 - Qualifies for faculty/staff membership in the William McKendree Society$50$25$10$5 - Minimum DeductionOther
Gift Designation*
If you chose "Other", please specify:
Date of first deduction*

MonthDayYear
Date
Signature

Clear
I retain the right to discontinue this authorization at any time upon written notice to the office of Human Resources.

Submitting this form authorizes the Office of Human Resources to deduct the designated amount from my paycheck each month as a gift to McKendree University.

You will receive an tax deductible acknowledge of your gifts annually.
McKendree University

701 College Road

Lebanon, Illinois 62254

(618) 537-6824

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