Family Campaign Donation Form

Personal Information

First Name(Required)

Last Name(Required)

Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

I am(Required)

MU ID NUmber(Required)

Job Title(Required)

Department(Required)

College/School(Required)

Employer(Required)

Marshall Email(Required)

Work Phone(Required)

Ways to Make a Gift

Ways to Make a Gift(Required)

Payroll Deduction

Cash

Check

Credit Card

Please note that payroll deduction auto-renews on November 1 of each year. To change or discontinue deductions please email development@marshall.edu.

Amount Deducted Per Pay Period(Required)

Pay Period(Required)

Type of Deduction (Select Designation Below)(Required)

This is a new payroll deduction

This in addition to my current payroll deduction gift(s)

This replaces my current payroll deduction gift(s)

Date to Start New Payroll Deduction(Required)

The effective date shall be the beginning of the next payroll cycle following the date this form is received by the Human Resources Benefits Office or as soon as the form is able to be keyed, or a future date elected by the employee. Be aware payroll "cutoff" is typically a few weeks earlier than the pay date.

Cash Donation Amount(Required)

Check Donation Amount(Required)

Credit Card Donation Amount(Required)

University’s Greatest Needs (100101)

General Scholarship Fund (300101)

College/Department Annual Fund

Fund Name

Fund ID

Other Fund

Fund Name

Fund ID

CAPTCHA

Personal Information

Ways to Make a Gift

Campaign 00216