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To establish your payroll deduction, simply complete the below form and click on submit. Thank you for your support of UW-Stout!

Employee Name:
To be used in support of UW-Stout and the Stout University Foundation, please withhold $ per pay period beginning with my (date to begin) check.

I wish to make my gift:to make my gift:



Preferred Email Address:    

Phone:  

I will notify the Foundation Office when I wish to alter this pledge.

View the PDF form. To download Adobe Acrobat Reader, click here