You & I Employee Campaign

You & I Employee Campaign
Name*

First NameLast Name
Employee ID Number*
Department*
Donation Levels & Rewards

Campaign short sleeve t-shirt: $5 bi-weekly, $130 one-time gift, or 8 hours ETO

Campaign short sleeve AND long sleeve t-shirt: $15 bi-weekly, $390 one-time gift, or 20 hours ETO
My Gift

If you choose to give, please mark one of the selections below and select a fund/project to support.
Please mark one of the selections below for bi-weekly payroll deduction:

$5.00$10.00$15.00Other
If you selected bi-weekly giving, please select your shirt size:

SMLXL2XL3XL4XL
Other donation methods:
If you would like to make a gift by credit card a Foundation representative will contact you. Please provide us with your phone number
Please enter a valid phone number.
Please select which fund or service you wish to help:

ACOM Student ScholarshipsCancer ServicesCritical Care UnitEmergency ServicesEmployee BenevolenceFamily Birth CenterHeartSafeHeart & VascularLaboratory MedicineLoftin Children's ProgramMichael Miller Memorial ScholarshipNeonatal Intensive Care Unit (NICU)Nutrition & Food ServicePalliative CarePatient Care Nursing ServicesPatsy S. McGowan Memorial ScholarshipPatient Transportation/Prescription Asst.Perinatal BereavementPharmacyRonald S. Owen ScholarshipRehab ServicesSpiritual CareStroke CareSurgeryWomen's Health ServicesYou & I Projects / General Purpose
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My Gift