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(Albion email)
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(This helps keep your Albion College information correct.)
Birthdate
(This helps keep your Albion College information correct.)
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Is this a new or existing payroll deduction?
Is this a new or existing payroll deduction?
New Payroll Deduction
I have an existing payroll deduction
Is this in addition to your existing deduction or does it replace it?
Is this in addition to your existing deduction or does it replace it?
This is in addition to my existing payroll deduction.
This replaces my current payroll deduction.
Please deduct the following amount per pay period.
Would you like to specify an end date for this deduction?
Would you like to specify an end date for this deduction?
Yes
No
Date for deduction to end.
Please choose the area you would like to support.
If
multiple are chosen the donation will be split evenly.
Please choose the area you would like to support.
If
multiple are chosen the donation will be split evenly.
Albion College Fund (HR Code: 031)
Briton Scholarship Fund (HR Code: 031)
Bridging the GAP Scholarship (HR Code: 034)
Provost Retention Fund (HR Code: 030)
United Way (HR Code: 036)
Other
Other
Full Name
I understand that checking this box constitutes a legal signature confirming that I acknowledge and authorize this payroll deduction.
I would like to know more about including Albion College in my will, trust or other estate plans.
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