Employees

Gift Amount

Gift type:

Payroll Deductions

One Time Donation

Total Contribution:

$250

Other

Bi-Weekly Payroll Deduction

Pledge duration:

Contribution (to be broken up into sequent payroll deduction payments): $250.00

Gifts are processed on December 31 of every year.

Your first gift of $250.00 will occur on 12/31/2022.

Gift Designation

Designation:

Employee Verification

Employee ID #

Seat Inscription (22 characters):

Billing Information

Name: Title: First name: Last name:

Email:

Phone:

Country:

Address:

City:

State & Zip:

State:

Zip:

Postcode:

City:

Suburb:

I would like this gift to remain anonymous

Payment Information

Payment method:

Credit card

Payroll Deduction

FormField

Nursing Education Seat Naming Campaign