Payroll Deduction Form

Gift Amount and Designations

Having Trouble Giving? We're here to help. Please contact Sharon Horinka, at 704-687-7368 or Shorinka@charlotte.edu

There is a minimum of $24 per designation per year (which is $1 minimum per paycheck). Please enter the TOTAL amount you would like to contribute below. A member of the Gift Processing team will reach out to you to confirm the number of pay periods and amount per paycheck before submitting your pledge.

Gift Amount ($24.00 Minimum): Required Field

Designations Required Field

Designations Gold Rush Grants
Greatest Need - Chancellor's Fund
Other Colleges and Units

Selected Designations

Remove	Name	Amount	Percentage
	M. Coffman Doctoral Nursing Scholarship	$
Total:	$0.00	0%

Please note: our team will match your gift as closely as possible to an existing designation.

Donor Information

Prefix:

First Name: Required Field

Maiden Last (if applicable):

Last Name: Required Field

Suffix:

800# (Full 9 Digit #): Required Field

List me as "anonymous."

Donor lists will NOT include the amount of any gift. If you select the anonymous option, your name will also be removed from donor lists.

Contact Information

Home Address 1: Required Field

Home Address 2:

City:

State:

Zip:

Country:

UNC Charlotte Email: Required Field

Preferred Phone Type: Required Field

Phone Area Code:

Phone Number:

Employee Payroll Deduction

Gift Amount and Designations

Donor Information

Contact Information

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