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Payroll Deductions

Payroll Deduction Gift
​Payroll Deduction: (Please Select One) 
Please Note: The State of California and University Enterprises Corporation can not process one-time payroll deduction gifts.
I would like to
*** Payroll deductions are automatically renewed on July 1 *** 
Donor Information
Name
Title
Contact Information
Address
Deduction Amount
$
Please deduct the following amount per pay period from my salaries and wages.
Areas of Support
Select your Areas of Support and the gift amount.  Your may select up to 5 Areas of Support for your gift.
$
$
$
$
$
Cancellation Authorization
Cancellation Authorization