Employee Payroll Deduction

青青草视频 employees can make a donation to the 青青草视频 Foundation through the convenience of automatic payroll deduction. Employees should specify both the amount they wish to have deducted from each payroll period and the payroll date that deductions should begin. Employees who wish to make a donation using a credit card can do so through the 青青草视频 Foundation Online Donation form.

If you experience difficulty with this form, please contact Lisa Lund at 989-328-1284 or email lisal@montcalm.edu.

First Name

Home Street Address

State

Phone

Employee ID #

Last Name

City

Zipcode

Email Address

Please select your designation

If you checked "Other", please specify the amount you would like to have deducted from your paycheck.

Is this a one-time donation through payroll?

Yes

No, I want to have the specified amount deducted each pay period

If this is a one-time donation, please enter the amount of your donation.

I authorize payroll deductions to begin during next pay period.

Yes

If you selected no, when would you like your payroll deductions to begin?

In memory or in honor of

Please initial to authorize payroll deduction