DONATION TO THE NJCU FOUNDATION

Thank you for supporting New Jersey City University’s Annual Fund.

*Amount to be deducted from each paycheck:

How many paychecks would you like the above amount deducted?
Leaving this line blank indicates that you would like the Payroll Office to deduct this amount continuously until you ask that these donations be stopped.

I would like my gift to be designated to:

*NAME:

*HOME ADDRESS:

*CITY:

*STATE:

*ZIP CODE:

TELEPHONE #:

*GOTHIC ID:

*EMAIL ADDRESS:

Please forward more information about:

Making a bequest to NJCU in my estate plans
Matching gift opportunities from my spouse’s employer
Establishing a scholarship or contributing to an existing scholarship

By hitting FINISH and submitting this form to the Office of Annual Giving and the Payroll Office, I am authorizing deductions to be taken from my pay checks as indicated above.