Faculty/Staff Payroll Deduction Gift Program

All fields are required.

Faculty/Staff Donor Information:

Name:
Title:
Department:
Address (Home):
Phone (Office):
Phone (Home):
Email:

Gift Payment:

Please deduct $ from my paycheck each pay period.

Start Date:
End Date:
Enter either a specific date or write "On-going"
This donation is designated for:

If you'd like more information regarding designations or if you have questions, please contact The Office of Advancement 804-752-7218.

Thank you for all that you do and for contributing to the Randolph-Macon College annual faculty/staff campaign!



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