PAYROLL DEDUCTION AUTHORIZATION FOR THE SOUTH HUNTINGTON EDUCATIONAL FOUNDATION (SHEF)
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I hereby authorize the South Huntington School District to deduct the sum of $____________________
once a month from my payroll check.
This deduction shall be credited to the account of the South Huntington Educational Foundation (SHEF).
I understand that this authorization will remain in effect until I request otherwise in writing.
Name: _____________________________________________________________________________
(Please Print)
Building Assignment: __________________________________________________________________
Date: ______________________________________________________________________________
Signature: __________________________________________________________________________