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Employee Payroll Deduction Form
Thank You!
As a member of the Columbus State family, your support is particularly meaningful. We at the Foundation continue to be inspired by the selfless generosity of Columbus State employees.
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Title
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Admiral
Ambassador
Brother
Capt.
Cdr.
Chef
Col.
Commander
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Controller
Councilman
Councilwoman
Dr.
Drs.
Executive
Father
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Lt.
Madam
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Master
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Miss
Mr.
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Rabbi
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RMsgr.
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Sir
Sister
The Honorable
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Baker
Sous
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, CVT
Pastry Chef
, CFRE
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Lieutenant
Coach
Bishop
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First Name
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Cougar ID
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Phone
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Email
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Street Address Line 1
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Street Address Line 2
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City
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State
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Zip
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Please direct my gift to:
First-Generation Scholarship Fund
Area of Greatest Need
Other
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If Other please specify:
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Payroll Deduction:
I would like to increase my current contribution from each of my paychecks to (dollar amount):
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I authorize Columbus State to deduct from each of my paychecks (dollar amount):
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