Gift payroll deduction

   
Gift payroll deduction
Donor information
First name
required
Last name
required
Email address
required
Home phone
Cell phone
MSU department
required
MSU Employee Type
required
Address
Home Address
required
Address 2
City
required
State
required
Zip
required
Payroll deduction information

Please indicate the frequency of your payroll deduction and the amount of your charitable contribution per pay period. Based on when this form is submitted and the time to process your deduction by Human Resources, your first deduction may occur after your preferred start date.

Payroll deductions require a minimum of six monthly installments of at least $5.

This is an ongoing deduction (no specified end date)

required
If this is not an ongoing gift, please indicate the total number of deductions.
Amount to be deducted per pay period
required
Number of months you are paid annually
required
Start date of your deduction
RadDatePicker
RadDatePicker
Open the calendar popup.
required
Gift designation

Please select the designation of your gift. If you would like to spread your gift over multiple areas or you do not see your desired designation(s) listed, please select the "Other" option and provide details of your gift in the Additional gift instructions text box below.

Gift designation
required
Additional gift instructions
Authorization

By checking the box below, I hereby authorize the gift amount indicated above to be deducted from my paycheck. This deduction shall continue until the specified deduction end date or until I choose to discontinue this deduction.

I authorize this payroll deduction.
required
Please contact the MSU Alumni Foundation Accounting department, Sandi Rummel at 994-6465 or sandi.rummel@msuaf.org if you have any questions about your gift or wish to discontinue your payroll deduction.