Binghamton University Foundation Payroll Deduction Authorization
Please complete this form, print the confirmation page and send it to the
Binghamton University Foundation, Old O'Connor Hall G044
The address is also on the confirmation page.
Questions? Call 607-777-6929
* First, MI, Last Name
* B Number
Lookup
* Department/Location
* Campus Extension
Class Year (If Binghamton graduate)
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Not Listed
Zip
* Email Address
* Employer:
State
Research Foundation
*
Payroll deduction will continue until you send written notice directly to your appropriate payroll office requesting the deduction be discontinued, or until you submit a new form to the Foundation office with the "Cancel" option selected.
(Check to confirm you have read this contractually binding information.)
*
If you wish to change your bi-weekly payroll deduction amount, you must file a new authorization form with the Foundation office. If you wish to change only your gift account designation, contact the Foundation office at 607-777-6929.
(Check to confirm you have read this contractually binding information.)
*
You will receive an official tax receipt letter each January from the Binghamton University Foundation acknowledging your cumulative payroll deduction giving for the previous tax year.
(Check to confirm you have read this contractually binding information.)
I wish to:
Start payroll deduction:
Bi-weekly amount $
Is this a joint gift?
Yes
No
Spouse/Partner's Name
Change bi-weekly deduction:
Current deduction is $
, change to $
Cancel payroll deduction
Unless otherwise noted in your annual payroll deduction tax receipt letter, no goods or services in whole or partial consideration are provided for contributions made to the Binghamton University Foundation by payroll deduction.
Direct my Binghamton Fund giving to:
$
Excellence (greatest needs)
Opportunity Scholarships (critical student needs)
Harpur College of Arts and Sciences
College of Community and Public Affairs
Decker College of Nursing and Health Sciences
School of Management
School of Pharmacy and Pharmaceutical Sciences
Watson College of Engineering and Applied Science
Anderson Center for the Performing Arts
Athletics
Campus Enhancement
Diversity, Equity and Inclusion
Graduate Studies
Libraries
Reputation Building
Research and Technology
Student Life
University Art Museum
Bi-weekly
$
Excellence (greatest needs)
Opportunity Scholarships (critical student needs)
Harpur College of Arts and Sciences
College of Community and Public Affairs
Decker College of Nursing and Health Sciences
School of Management
School of Pharmacy and Pharmaceutical Sciences
Watson College of Engineering and Applied Science
Anderson Center for the Performing Arts
Athletics
Campus Enhancement
Diversity, Equity and Inclusion
Graduate Studies
Libraries
Reputation Building
Research and Technology
Student Life
University Art Museum
Bi-weekly
$
Excellence (greatest needs)
Opportunity Scholarships (critical student needs)
Harpur College of Arts and Sciences
College of Community and Public Affairs
Decker College of Nursing and Health Sciences
School of Management
School of Pharmacy and Pharmaceutical Sciences
Watson College of Engineering and Applied Science
Anderson Center for the Performing Arts
Athletics
Campus Enhancement
Diversity, Equity and Inclusion
Graduate Studies
Libraries
Reputation Building
Research and Technology
Student Life
University Art Museum
Bi-weekly
$
Excellence (greatest needs)
Opportunity Scholarships (critical student needs)
Harpur College of Arts and Sciences
College of Community and Public Affairs
Decker College of Nursing and Health Sciences
School of Management
School of Pharmacy and Pharmaceutical Sciences
Watson College of Engineering and Applied Science
Anderson Center for the Performing Arts
Athletics
Campus Enhancement
Diversity, Equity and Inclusion
Graduate Studies
Libraries
Reputation Building
Research and Technology
Student Life
University Art Museum
Bi-weekly
Add another account
Or specify another department or fund/account number
$
Bi-weekly
Any additional notes
Questions? Email
givenow@binghamton.edu
.
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