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University of Kansas Lawrence Campus Authorization for Payroll Deduction of Contributions to KU Endowment Employee Name Home Address Street City State ZIP Last 4 digits only Employee Social Security Number Employee s department at KU Work Phone Home Phone E-mail I the undersigned hereby authorize payroll deduction and payment of a contribution on my behalf to Fund Number internal use only Amount withheld each paycheck for this fund Begin withholding on paycheck date For a total amount of OR...
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