Advancement: Fac/Staff Payroll Deduction






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Jewell Fund Faculty & Staff Campaign Payroll Deduction Form

First Name:
Last Name:
Department
Box #
E-mail
Deduction ($$):
Frequency	Quarterly Monthly Bi-Weekly
	Continue this deduction until I request a change
	Continue this deduction until the end of the fiscal year June 2008
Designate Gift:
Comments:

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500 College Hill - Liberty, MO 64068
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Office Of Admission: 816.415.7511 / 1-888-2-JEWELL