Mayo Clinic

Employee Payroll Deduction

Thank you for signing up for payroll deduction. Every gift truly makes a difference for patients at Mayo Clinic. Please allow 1-2 payroll cycles for your deduction to begin once you have submitted your request. Please contact the Department of Development Gift Processing Associates with any questions or requests at 507.293.8224.

Questions that require an answer are marked with *


	*	Is this a new deduction, an update/change or a cancellation of an existing deduction?


	*	First Name


	*	Last Name


	*	Address


	*	City


	*	State


	*	Zip Code


	*	Mayo Email Address


	*	Total Amount to Deduct per Pay Period ($5 minimum)


	*	Designation of gift
		Other:

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