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UW Faculty & Staff Payroll Deduction Request Form


2015 Men's and Women's Basketball

Payroll Deduction for 2015 Husky Men's and Women's Basketball is now available! Sign-up deadline is July 15, 2015. Payroll deductions will be taken in 4 equal installments from paychecks in October and November, 2015. Please call the Husky Ticket Office at (206) 543-2200 (M-F 8:30am-4:30pm) for further assistance.

 

Required Fields are in Bold

Husky Ticket Account Number
 
Name
 
Campus
 
Department
 
Department Box Number
 
Email
 
Employee ID Number
 
Day Phone
 
Quantity of Faculty/Staff Seats
 
Total Cost For Faculty/Staff Seats
 
Quantity of Additional Seats
 
Total Cost for Additional Seats
 
$10 Processing Fee
 
Total Amount Deducted
 
To Be Divided Into 4 Equal Payments Of
 
Data Points
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