We Give To Give Payroll Deduction

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Required format:

F5vjAKw6ysWDMEwkLTU28rPc5sxWLvihAEwMQwNDvhBsNC64bRkC3yiA

Thank you for giving through We Give To Give! Your gift will make a difference for Ascension Seton's people, places, and mission.

If you prefer to give via credit card, click here.**All contract associates (R1, TouchPoint, MedExcel, etc.) must donate via credit card at this time.**

One time or biweekly payroll deduction?

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One time

Biweekly

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One time amount deducted

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$30

$60

$120

$250

$500

Other

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Enter one time amount deducted

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Amount deducted per pay period

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$10

$15

$25

$40

$50

Other

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Enter amount deducted per pay period

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Enter your hourly rate.

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Which fund would you like to support?

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Emergency Relief Endowment

Dell Children's Family Fund

Medical Mission at Home

HERE Campaign at Dell Children's

Seton Nurse Scholarship Endowment

Care-a-Van at ASEBD (Children's Healthcare Endowment)

Patient Clothing Closet at Shoal Creek

Care-a-Van at ASHL (Children's Healthcare Endowment)

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Select your Thank You gifts

Jacket

T-Shirt

Socks

Tumbler

I prefer not to receive a gift

Select your Thank You gifts
(You can get the jacket and t-shirt or socks when donating $50 biweekly)

T-Shirt Size:

Jacket Size:

Thank You Gifts

T-Shirt	$5 biweekly or $120 one-time
Socks	$10 biweekly or $240 one-time
Tumbler	$15 biweekly or $360 one-time
Tumbler and T-Shirt or Socks	$25 biweekly or $600 one-time
Microfleece Jacket	$40 biweekly or $960 one-time
Jacket and T-shirt or Socks	$50 biweekly or $1200 one-time

Thank You T-Shirt: To say thanks for a donation of at least $5/pay period ($120 one time), we'd like to offer you an exclusive t-shirt. Let us know your size:

First Name

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Middle Initial

Last Name

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Preferred Email Address

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Active Directory ID

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Home Address

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City

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State

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Zip Code

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Primary Phone Number

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Employee ID

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Work Location

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Work Location

Name of location

Are you a MOSTL (Ascension Corporate) associate?

Yes

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Date

M-D-Y

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