Payroll Deduction Form

Personal Information
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Campus Address
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Please deduct the following amount each month, as long as I am a member of the UTEP Family.
Direct my monthly gift to
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Authorization for Payroll Deduction
By checking this box, I authorize this deduction from my after-tax wage for a charitable contribution as indicated. I understand that deductions will begin with the next available pay period following this submission, and that deductions will continue until my employment with UTEP ends or until I submit a deduction cancellation form to the UTEP Asset Management and Development Office, Kelly Hall 6th Floor.
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