ࡱ> LNK bjbj΀ >(dd    <G$ b|k!M@MM=QQQM8QMQQQ0d:yU iQ20bQ"r"Q"Q0."QPlZbMMMM"d m: ý鶹 Faculty/Staff Payroll Deduction Gift Authorization Form Employee Information: Employee Name: _________________________________________________________________________ Last First MI Vandal ID Number: ______________________________ E-mail: __________________________________ Home Mailing Address: ____________________________________________________________________ Phone Number: Work (_______) ___________________ Home (_______) ____________________ Pledge Information: Note: Effective May 1, 2007, all new payroll deduction contributions must be for a minimum of five (5) pay periods and must be for a minimum amount of $5.00 per pay period. Please indicate where you want your contribution to be used: Effective Date: ______________________ Gift Deduction Total Designation: Gift Description: Per Pay Period Amount: For Office Use: __________ ___________________________________________ $_________ $___________ _________ __________ ___________________________________________ $_________ $___________ _________ __________ ___________________________________________ $_________ $___________ _________ __________ ___________________________________________ $_________ $___________ _________ Authorization: I hereby authorize the above deduction from my ý鶹 paycheck. Such amount is to be deposited currently with the ý鶹 Foundation, Inc., for distribution as shown. This deduction shall continue until the amount is paid in full. _____________________________________________________ ____________________________ Signature Date IRS regulations require that the donor keep a copy of their contribution form. Please make a copy for your records. Please return to: Gift Administration Office Forney Hall 117 - Campus Zip 3147 - Moscow ID 83844-3147 For information or questions contact us at (208) 885-6796 or gifts@uidaho.edu   SHAPE \* MERGEFORMAT  Last revised 6/17/2010 payrolldeduc.doc For Office Use Only First Payment: _________________________________ Last Payment: _________________________________ Pledge Number: ________________________________ Pledge Number: ________________________________ 4LMb0 } ͻ}llllll[ h*nhBCJOJQJ^JaJ hu94h=jTCJOJQJ^JaJh= CJOJQJ^JaJ hu94h; CJOJQJ^JaJh*nCJOJQJ^JaJ hu94hBCJOJQJ^JaJ#hu94hB5CJOJQJ^JaJhwhR5CJ^JaJhQhB5CJ^JaJh= CJ^JaJhQhBCJ^JaJ#4LMc1 \\#$d!%d$&d!'d$N!O$P!Q$)dh$d!%d$&d!'d$N!O$P!Q$gd*n&$d!%d$&d!'d$N!O$P!Q$gd=jT)dh$d!%d$&d!'d$N!O$P!Q$gd=jT   1 7 &$d!%d$&d!'d$N!O$P!Q$gd/g)dh$d!%d$&d!'d$N!O$P!Q$gdQ&$d!%d$&d!'d$N!O$P!Q$gdQ      0 1 = > C O ̻veYJYJY>Y>h/gCJOJQJ^Jhb=hQCJOJQJ^JhQCJOJQJ^J hQhQCJOJQJ^JaJ hb=hQCJOJQJ^JaJhQCJOJQJ^JaJ hu94hQCJOJQJ^JaJ)hu94hQB*CJOJQJ^JaJph hhQCJOJQJ^JaJ hb=hQCJOJQJ^JaJ#hu94hQ5CJOJQJ^JaJ hhBCJOJQJ^JaJO Q d f p % + 6 7 A L . ˺˺˺˺˺˺˺˺˺˺˩udu h*nhBCJOJQJ^JaJ hu94hBCJOJQJ^JaJ#hu94hB5CJOJQJ^JaJ hhBCJOJQJ^JaJ h/gh/gCJOJQJ^JaJ hu94hQCJOJQJ^JaJhQCJOJQJ^JaJh/gCJOJQJ^JhQCJOJQJ^Jhh~ahQCJOJQJ^J SlJ{n $ ra$gdu94$a$gdu94)$$d!%d$&d!'d$N!O$P!Q$a$gdQ)dh$d!%d$&d!'d$N!O$P!Q$gd#$d!%d$&d!'d$N!O$P!Q$ . 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