Payroll Deduction

Making a gift to Brockport is now easier than ever! Using payroll deduction, you can quickly and safely make a contribution using our secure service.

Thank you for your generosity and helping Golden Eagles to soar!

First Name: Required Field

Last Name: Required Field

Class (if applicable):

Home Address Required Field

City:

State:

Zip:

Phone Area Code:

Phone Number: Required Field

Primary Email: Required Field

Department/Office:

Employee Type:

Please use my gift for The Fund for Brockport (unrestricted)

Please designate my gift for:

Please use this box to specify the area(s) you would like to support.

I wish for my gift to remain anonymous

Matching Gift

My gift will be matched by:

Please enter spouse's employer:

More than 7,700 parent companies, subsidiaries and corporate foundations currently match their employee's gift to charitable organizations such as the Brockport Foundation. In this way, it is possible to double, sometimes even triple, the value of your gift. Your employer can supply you with the necessary forms. Please mail the completed matching gift form(s) to:

Brockport Foundation
350 New Campus Drive
SUNY Brockport
Brockport, NY 14420

Payment Options

Payroll Deduction
Please note that all NEW payroll deduction pledges WILL NOT take effect until current payroll deduction pledges have been fulfilled.

I pledge this amount per pay period Required Field

I want my pledge to continue for: Required Field

If you chose other (above), please explain:

My payroll schedule is: Required Field

If you chose other (above), please specify:

To the State Comptroller: Pursuant to Section 201 of the State Finance Law, I hereby authorize you to deduct from each of my biweekly salary checks the deduction amount shown, for purposes of my contributing to a campus-related foundation, and to transmit such withholding amount to the designated provider. I understand that this authorization may be revoked at any time by written notice.

Please "sign" here to agree to above statement:

Date:

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Questions?

If you have any questions, please contact giving@brockport.edu or (585) 395-2451.

To submit your payroll deduction request, please click "Save and Continue" below. You will be redirected to the Alumni and Friends homepage and will receive an email confirmation shortly. Thank you for supporting the Faculty and Staff Campaign!