Payroll Deduction

Payroll Deduction
First Name
Last Name
Email
Address 1:
Address 2:
City:
State:
Zip:
Department:
Designation:
If you do not see your gift designation listed above, please contact giving@thechicagoschool.edu.
Additional notes (e.g. 'this gift is in memory of ...').
Schedule:
Date Payroll Deduction is to Begin:
RadDatePicker
Open the calendar popup.
 
Date Payroll Deduction Should End
RadDatePicker
Open the calendar popup.
 
Total Amount if One Time Gift$
Total Annual Contribution$
I authorize my employer to deduct the above amount from my paycheck.
I agree to the above statement.