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CAMPAIGN UW: CREATING FUTURES FACULTY-STAFF-RETIREE: CAMPAIGN FOR STUDENTS
 

Summary: CAMPAIGN UW: CREATING FUTURES
FACULTY-STAFF-RETIREE: CAMPAIGN FOR STUDENTS
PAYROLL DEDUCTION FORM
NAME (Last, First, Middle):
SPOUSE /PARTNER NAME (if joint gift credit to be given):
(EIN) UW EMPLOYEE ID:
DEPARTMENT:
BOX:
PHONE:
EMAIL:
NAME OF ENDOWMENT:
BRIEF STATEMENT OF PURPOSE:
PLEDGE DESIGNATION:
University-wide, College, or Program: Campus:
Scholarship* Fellowship* Professional Scholarship* Student Support*
*$5,000 minimum donor commitment; matched 1:1 up to $10,000 (no maximum on donor pledge amount)
PAYROLL DEDUCTION PLEDGE FULFILLMENT INSTRUCTIONS:
DEDUCTION AMOUNT (each paycheck) ANNUAL TOTALMinimum pledge amount is $5,000; all pledges must be fulfilled within
a maximum of 5 calendar years
To fulfill this minimum commitment, the payroll deduction will be

  

Source: Anderson, Richard - Department of Computer Science and Engineering, University of Washington at Seattle

 

Collections: Computer Technologies and Information Sciences