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Prisma Health Midlands Foundation

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Home / 2024 Employee Giving Pledge Form

2024 Employee Giving Pledge Form

2024 Prisma Health Employee Giving Campaign

Name *
Name
First
Last
Choose your payroll deduction amount *
Agree to Terms and Conditions *
I authorize a recurring payroll deduction in the amount indicated per pay period as my gift to the Prisma Health Miracle Team employee giving campaign. I understand that at any time, I can raise, lower or cancel my contribution by notifying the foundation via email or in writing.

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