Donations – Boy Scouts of America, RIo Grande Council E-Pledge Card

Name/Nombre(Required)
First Middle Last
Last four of your SS#/Últimos 4 números del Seguro Social(Required)
Donation Amount Per Pay Period/Cantidad de Donacion por Periodo de Pago.(Required)
Pay Period Frequency/Frecuencia de Periodo de Pago(Required)
- Bi-Weekly/Cada Quincena
Email/Correo Electrónico(Required)
Address/Residencia
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. Yo autorizo a el Departamento de Nómina a procesar la información de compromiso para la deducción de nómina(Required)
- Agree

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