Giving to Millersville | Payroll Deduction Form

Payroll Deduction Form

Fields labeled with * are required for submission.

First Name: *

Last Name: *

Class Year ( if alum ):

Banner #: *

enter numbers only

Department: *

I am also a/an (please check all that apply):

alum parent

Payroll Deduction

Payroll deduction amount:*

Please continue my giving:*

Until I send a memo to the payroll office asking that it be stoped.
Until my employment ends.
Until specify ending month and year
e.g. MM/YYYY

How to Use My Gift

Please select one: *

Estate plans:

I have remembered Millersville University in my estate plans.
I would like information about including Millersville University in my estate plans.

Agreement: *

By checking this box, I understand that my gift will be deducted from my payroll following the instructions I have provided above.

Gifts to Millersville University and the Millersville University Foundation are tax deductible as allowed by the IRS.

Questions? Please call 872-3820 or e-mail givetomu@millersville.edu