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Make a Perpetual Payroll Deduction Pledge for Orange Grove

Please take 1 minute and complete this United Way Perpetual Payroll Deduction Pledge form and never be worried again with completing the United Way forms:

  

Perpetual Payroll Deduction Pledge for United Way

Name 
Email Address 
Employee ID Number 
I would like to continue my current United Way deduction on a perpetual basis
yes
no
I understand the amount I listed above will be deducted indefinitely from my paycheck unless I tell payroll otherwise
yes
no
If you would like to give more than your current deduction, please write (to the right) the amount you would like deducted from your payroll 
To prove you are a human, please tell us which is larger?
 

 

 

This page was last updated on Fri Aug 4, 2017.

Make a Perpetual Payroll Deduction Pledge for Orange Grove

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Orange Grove Center • 615 Derby Street • Chattanooga, Tennessee 37404 • Phone: 423.629.1451