Booster Club Payroll Deduction

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Dog Pack - Individuals Membership

Select Membership Level

Pack of 1 $50

Pack of 2 $100

Family Pack $125

Payment Options

Select from the deduction options below.

10-payment option (The 10-payment option is available only if this Payroll Deduction Form is received in Human Resources by November 1, 2024)
Pack of 1 = $50 (10 payments of $5)
Pack of 2 = $100 (10 payments of $10 each)
Family Pack = $125 (10 payments of $12.50 each)

Entire membership from one pay check (For forms received by November 1, total amount to be deducted from November 14th paycheck. Please contact Payroll to determine deduction date for forms submitted after November 1.)

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Select Size for T-shirt #2

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Booster Club Payroll Deduction

Dog Pack - Individuals Membership

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