Donations – Rio Grande City C.I.S.D. E-Pledge Card

Name/Nombre*
First Middle Last
Campus/Dept./Departamento*
Complete Employee ID #/Número Completo de Empleado*
Donation Amount Per Pay Period/Cantidad de Donacion por Periodo de Pago.*
Pay Period Frequency/Frecuencia de Periodo de Pago*
- Bi-Weekly/Cada Quincena
- Monthly/Mensual
Select your United Way/Seleccione su United Way*
- United Way of South Texas
- United Way of Northern Cameron County
- United Way of Southern Cameron County
Email/Correo Electrónico*
Address/Residencia
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
I authorize my School District Payroll Department to process the pledge information entered above for payroll deduction. Yo autorizo a el Departamento de Nómina del Distrito Escolar a procesar la información de compromiso para la deducción de nómina.*
- Agree
I authorize my School District Payroll Department to process this pledge as recurring, beginning in the Fall of 2023. It will continue year by year unless I contact my district's Payroll Department to make changes. Yo autorizo al Departamento de Nómina del Distrito Escolar para el cual trabajo, a procesar esta promesa como recurrente a partir de otoño de 2023. Continuará año tras año a menos que yo contacte al Departamento de Nómina para realizar cualquier cambio.
- Agree

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