Payroll Deduction Form

Payroll Deduction

Thank you for choosing to support UAFS and its students through your giving! By signing up for a payroll deduction, you join with other faculty and staff as members of the Bell Tower Giving Society.

Payroll Deduction

First Name: Required Field

Last Name: Required Field

Primary E-mail: Required Field

Email (required) Required Field

Employee ID:(@number)

Address 1: Required Field

Address 2:

City:

State:

Zip:

In support of UAFS, I understand this amount will be deducted from my semi-monthly pay until I issue a written notification to discontinue.

Deduction Frequency(required): Required Field

Deduction Frequency(required): Until I issue written notification to discontinue
24 Pay Periods (for semi-monthly paid employees)

Amount to be deducted per pay period:(required) Required Field

I would like my gift to go to:(required) Required Field

Please specify other gift designation:

I authorize the payroll deduction to begin on:(required) Required Field

Open the calendar popup.

Gifts to the UAFS Foundation, Inc. are tax-deductible.

If you have questions or need to make a change to your current payroll deduction(s), please contact the UAFS Foundation at foundation@uafs.edu or 479-788-7020. You have the right to alter this giving commitment as needed.