Colleague Giving Payroll - Recurring - MercyOne North Iowa Foundation

Recurring Payroll Deduction

PRN colleagues are not eligible for payroll deductions. Recurring payroll deductions will begin within one to two pay periods of signing up and continue until you request an amount or designation change or you request a stop payroll deduction. Please allow one to two pay periods for changes to payroll giving to take effect. Contact Josh Guyer at josh.guyer@mercyhealth.com or 8-5656 with any questions.

Donation Per Pay Period

Amount:

$5.00

$10.00

$15.00

$25.00

$50.00

$100.00

Choose amount per pay period

Designation:

Colleague Information

Colleague ID:

Employer:

Personal Contact Information

Foundation will provide calendar yearend giving statement

Title:

First name:

Last name:

Country:

Address:

City:

State:

ZIP:

Phone:

Email:

Donation Form