Donations –Lone Star National Bank E-Pledge Card Lone Star National Bank Employee Pledge Form Name* First Middle Last Branch Number/Location* Complete Employee ID # Donation Amount Per Pay Period*Pay Period Frequency* Semi-Monthly Email* Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code I authorize my Payroll Department to process the pledge information entered above for payroll deduction.* Agree I authorize my Payroll Department to process this pledge as recurring, beginning January of 2022. It will continue year by year unless I contact my Payroll Department to make changes.* Agree Δ
