Payroll Deduction Form

Name*
First Last
Department*
Division*
Extension*
Email*
Please choose a fund from "Giving Options" or select "Other" and enter fund name from list of over 300 established scholarship and academic program funds in more than 40 different areas. The full list of funds can be found here.
Giving Options*
Other Fund
Amount Per Check*
Please consider choosing Continuous Giving for the greatest impact. You can also select to make a one-time donation from a single paycheck or select from the options available. If your desired "Pay Period" option is not listed, please email foundation@cod.org with your preference.
Number of Pay Periods*
Authorization: By submitting this form, I authorize the action above in the amount and frequency indicated. I understand that if I selected Continuous Giving, the gift will continue at the amount and frequency indicated until I request a change in writing to the COD Foundation at foundation@codfound.org.
Phone
This field is for validation purposes and should be left unchanged.