ONLINE GIVING FORM

2024 Circle of Care Campaign Online Giving Form

HAVE QUESTIONS?

Email: wrhfoundation@wrh.on.ca
Call: 519-985-2656

All donations are tax-deductible. Payroll deduction contributions will be recognized on your T4.

All pledges take effect in January 2024.

RECOGNITION

All participating employees will be listed on the Circle of Care Campaign online Donor Wall. In addition, there are added incentives for employees who give $52 or more.

Supporter Circle - $52 to $500 (Starting at $2 payroll or $1 / week)
Advocate Circle - $500 to $999 (Starting at $19.24 payroll or $9.62 / week)
Friend Circle - $1,000 to $1,999 (Starting at $38.47 payroll or $19.24 / week)
Family Circle - $2,000+ (Starting at $76.93 payroll or $38.47 / week)

Just follow these SIMPLE Steps:

Step 1:

Windsor Regional Hospital family members have the option of designating their gift to a program or service that they are passionate about.

Gift Designations:

Other:

Step 2:

Payroll Deduction Option 1:

I want to pledge an equal amount per pay period to the area/project I've selected above. I understand my deductions will begin January 2024 and this amount will be deducted until further notice.

Enter the amount you would like to deduct each pay period:

Payroll Deduction Option 2:

I want to pledge a one-time gift to the area/project I've selected above.

Enter the amount you would like to pledge as a one-time gift:

Step 3:

*Name:

Employee Number:

*Phone Number:

*Email:

Department:

Campus:

The Foundation publishes an honour roll of donor names. May we include your name?:

The Foundation publishes an honour roll of donor names. May we include your name?YES!
No thanks, I wish to remain anonymous.

I choose not to continue participating this year.

WRH Foundation

ONLINE GIVING FORM

2024 Circle of Care Campaign Online Giving Form

Just follow these SIMPLE Steps:

Step 1:

Step 2:

Step 3:

We are processing your submission.
Please do not press back or refresh.

ONLINE GIVING FORM

2024 Circle of Care Campaign Online Giving Form

Just follow these SIMPLE Steps:

Step 1:

Step 2:

Step 3:

We are processing your submission.Please do not press back or refresh.

We are processing your submission.
Please do not press back or refresh.