Donor Information
Address
This field is required.
State
This field is required.
Deduction Information
* Using this form will establish a new payroll deduction. If you have an existing deduction that you wish to edit or terminate, please contact Advancement Services at 205-348-5370.
Pay period
This field is required.
Duration of deduction
This field is required.
Total percent must be equal to 100%.
1st designation
2nd designation
At least one designation must be selected.
Authorize
Authorize
Required
By checking this box, I hereby authorize and request The University of Alabama to deduct the amount designated above from my paycheck each pay period. I understand that the payroll deduction will remain in effect until the pledge is paid in full or until Advancement Services has received written notification to discontinue the deduction.
Required