UNM School of Medicine - PAYROLL DEDUCTION AUTHORIZATION

 

UNM School of Medicine - PAYROLL DEDUCTION AUTHORIZATION
UNM School of Medicine - PAYROLL DEDUCTION AUTHORIZATION






If you are already making payroll contributions, the contribution on this form is meant to:



I hereby authorize the UNM Foundation, Inc. to:



Please direct my gift (can choose more than one fund, please indicate dollar amount for each):







Please type signature and date below:

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