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Get TX GPISD Form GrandPr403CR

Ty Date of Birth Date of Employment Zip Email Address Day Phone Evening Phone Position/Title Married Full Time Unmarried Part Time PARTICIPATION ELECTIONS I hereby apply for Participation in the above-named 403(b) Plan and direct my employer to withhold through payroll reduction the following amounts from each pay. I understand this election will be applied to future contributions only and will remain in effect until I direct new elections through the Plan s Internet or Voice Respo.

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