Grateful Giving Campaign

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Give. Hope. Inspire.

Payroll Deduction Form

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Personal Information


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By selecting a designation below, you are giving to the greatest need unless a specific program is selected. You must select a designation.

Fund Added!

My Gifts to Spectrum Health:

Enter amounts on the next step

Set Up Payroll Deduction
Keep your pay stub to use as your tax receipt. Payroll deductions begin in mid-January 2021.

Please enter the amount you want to contribute each pay period. For example, if you want to contribute $2 per pay period for that specific designation, enter $2