Give to CSUSM: CSUSM Employee Payroll Deduction Form






Please designate the amount and recipient(s) of your monthly donation:
Minimum donation for payroll deduction is $5 per month per category. You may contribute to as many categories as you wish. For categories you wish to donate to, simply enter the desired monthly dollar amount WITHOUT a dollar sign, and leave all other categories blank.

Supports campus areas of greatest need









Silver Level at $84/month ($1,000/yr), or Gold Level at $209/month ($2,500/year)

Other - Please list the department(s) or program(s) you wish to support:


Indicate desired monthly dollar amount AND department name

Indicate desired monthly dollar amount AND department name

Indicate desired monthly dollar amount AND department name

TOTAL MONTHLY PAYROLL DEDUCTION
Please add up your desired monthly contributions listed above and enter the total here:

New
Addition
Replacement

YES, please include my name in the Honor Roll
NO, I wish to remain anonymous, please do NOT list my name in the Honor Roll


(This name will supersede any Honor Roll name already on record with University Advancement)

Important note:
I understand this information is CONFIDENTIAL and only University Advancement and Payroll personnel directly associated with the management of these donations will have access to this information. This deduction will remain in effect until I initiate a change in University Advancement.
Submit your payroll deduction request