Faculty and Staff Payroll Deduction Form

Thank you for your commitment to student success at Pacific University!

This gift is a *

New payroll deduction

Adjustment to a current payroll deduction

Name *

Spouse/Partner's name

Email address *

Address

City *

State *

Zip *

Home phone

Office phone

I would like to support Pacific University with a monthly gift of *

Other amount *

Please direct my/our gift to *

Other designation *

Contact Us

Mandi Montplaisir
Director of Leadership Annual Giving
503-352-2116 | mandi@pacificu.edu