Piedmont College Payroll Deduction
I hereby authorize the following payroll deduction for Piedmont College.
per month beginning
and ending
, for a total of
Please Select a Giving Category:
Annual Fund Unrestricted
Scholarship Fund
Named Scholarship:
Other:
(club, organization, project)
I hereby understand that by signing my electronic signature I am
confirming the information I have provided. My electronic signature is as
binding as a written signature.
Electronic Signature (Required)
Date (Required)
mm/dd/yyyy
For Piedmont Faculty and Staff Only
If you prefer to do a paper form, click here.