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Staff and Faculty Giving Campaign Payroll Deduction Form

Yes, I'd like to support the Medical College of Wisconsin!

I hereby authorize the Medical College of Wisconsin to deduct:

For questions or other giving opportunities, please contact the Office of Institutional Advancement at

For listing in the 2021 Annual Report & Alumni Honor Roll online, which recognizes gifts of $250 or more, given from July 1, 2020 - June 30, 2021