Pledge a Tax-Deductible Gift through Payroll Deduction

I would like to pledge $1.00 per pay period (not more than $26.00 per year)*
I would like to pledge $2.00 per pay period (not more than $52.00 per year)*
I would like to pledge $3.00 per pay period (not more than $78.00 per year)*
I would like to pledge $5.00 per pay period (not more than $130.00 per year)*
I would like to pledge $10.00 per pay period (not more than $260.00 per year)*
I would like to pledge $ cash or check*
(Please print this form and bring your cash or check donation to the Payroll Office in the Administration Building.)





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*I authorize EVSC to deduct the above pledged amount from my paycheck and donate to PEF. All contributions are tax-deductible. Check your end-of-year pay stub for deduction total. This deduction will continue until you notify the payroll office to stop.
(812) 422-1699
100 N.W. Second Street • Suite 120 • Evansville, Indiana 47708 | info@pefevansville.org
 
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