student legacy scholarship payroll deduction giving form

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Wouldn’t YOU Love to Share this Feeling?! You Can! Payroll deduction: This is a continuous gift. (The “Amount per paycheck” will be on every check until you tell us otherwise.) Make my gift cover: pay periods (#). Signature: (authorizes payroll deductions.) G-number#: (can be found on paystub.) Share the Feeling! Name(s): Permanent Address: City, St. Zip: Phone: E-mail: I wish to contribute: To the Student Legacy Scholarship To Mary Idema Pew Library Learning and Information Commons To this designated fund: $ ____ per pay period $ ____ per pay period $ ____ per pay period Grand Valley State University University Development Office 301 Michigan Street NE Ste 100 Grand Rapids MI 49503-3314 Email: [email protected] Phone: (616) 331-6000 Grand Valley State University University Development Office 301 Michigan Street NE Ste 100 Grand Rapids MI 49503-3314 Email: [email protected] Phone: (616) 331-6000 gvsu.edu/studentlegacy In 2007, student leaders created the Student Legacy Scholarship to help out fellow students with the rising cost of college tuition. A very important part of the scholarship is that it is funded by students. What better way for you to “leave your legacy” in support of Grand Valley students than to make your own gift to the Student Legacy Scholarship! Share the Feeling! gvsu.edu/studentlegacy agstpd Please use intercampus mailing envelope to send back to CHS 100. It’s Easy! with Payroll Deduction

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A form which Grand Valley State University's student workers can submit to have their gifts to the Student Legacy Scholarship automatically deducted from their payroll checks.

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Page 1: Student Legacy Scholarship Payroll Deduction Giving Form

Wouldn’t YOU Loveto Share this Feeling?! You Can!

Payroll deduction: This is a continuous gift. (The “Amount per paycheck” will be on every check until you tell us otherwise.) Make my gift cover: pay periods (#).Signature: (authorizes payroll deductions.)G-number#: (can be found on paystub.)

Share the Feeling!

Name(s):Permanent Address:City, St. Zip:Phone: E-mail:I wish to contribute:

To the Student Legacy ScholarshipTo Mary Idema Pew Library Learning and Information CommonsTo this designated fund:

$ ____ per pay period$ ____ per pay period$ ____ per pay period

Grand Valley State UniversityUniversity Development Office

301 Michigan Street NE Ste 100Grand Rapids MI 49503-3314

Email: [email protected]: (616) 331-6000

Grand Valley State UniversityUniversity Development Office

301 Michigan Street NE Ste 100Grand Rapids MI 49503-3314

Email: [email protected]: (616) 331-6000

gvsu.edu/studentlegacy

In 2007, student leaders created the Student Legacy Scholarship to help out fellow students with the rising cost of college tuition.A very important part of the scholarship is thatit is funded by students. What better way for you to “leave your legacy” in support of Grand Valleystudents than to make your own gift to the Student Legacy Scholarship!

Share the Feeling!

gvsu.edu/studentlegacy

agstpd

Please use intercampus mailing envelope to send back to CHS 100.

It’s Easy!with Payroll Deduction