ONLINE GIVING FORM

2023 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 2023.

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 -$999
Friend Circle: $1,000 - $1,999
Family Circle: $2,000 and over

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 2023 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.

*Donations over $52 are eligible for a 2023 Circle of Care T-Shirt. Please choose your size below:

Donations over $52 are eligible for a 2023 Circle of Care T-Shirt. Please choose your size belowS
M
L
XL
2XL
3XL

I choose not to continue participating this year.

WRH Foundation

ONLINE GIVING FORM

2023 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

2023 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.