CHECK AND PAYROLL DONATION FORM
Your donation will assist employees in times of need.
Please fill in the information below, print and return it to:
ERF Collection Account
P. O. Box 341729
Memphis, TN 38184-9424
Payroll Deduction Donation:
Please complete this form and submit it to ERF Collection Account via the
button below. If you have any trouble submitting the form online, please print the application out and mail it to ERF Collection Account at the address above.
For Acknowledgements - Home Address:
Are you a full-time International Paper employee?
Method of Payment (Please check below):
Check - made payable to IP Employee Relief Fund
Payroll Deduction - a gift of $
per pay period
Payroll Deduction - one time gift of $
For Payroll Deduction Purposes Only:
(Found in the upper left of your pay stub)
Please type your First and Last Name:
I understand that checking this box constitutes a legal signature confirming that I acknowledge and warrant the truthfulness of the information provided in this document.