Employee Giving Campaign

Thank you for your Support!

My Payroll Giving - Student Support

Employee Information

Employee Name

First

Last

Gavilan ID-G#

Email

Address

Address Line 1

City

State

Zip Code

My Gift Commitment

making Making Deduction

My Contribution Info

My Pledge/Commitment Area

My Pledge/Giving Amount

Start Date of Deduction

Giving Deduction Authorization

Terms and Conditions

I hereby authorize the deduction as specified above from my wages. I am aware my Payroll deductions Auto-Renew unless Canceled. I understand and agree to the terms and conditions of the payroll deduction.

Employee Signature

Clear Signature

Date Authorization