LifeBridge Health-Team Member Recurring Payroll Deduction Form

RECURRING PAYROLL DEDUCTION FORM

PAYROLL DEDUCTIONS WILL BEGIN WITH YOUR FIRST PAYCHECK IN JULY 2025 AND WILL END WITH YOUR FINAL PAY IN JUNE 2026.

Please choose from one of the suggested total donation amounts below and select the program(s) that you wish to support. You may select up to 3 programs. If multiple programs are selected, note that your total donation will be evenly distributed among those programs. If a program selection is not made, your donation will go to the LBH Fund. To make your donation to a program or multiple programs that are not listed, select "Other" from the drop down(s) and then provide the details in the box provided. 

President's Club Membership = $260 and above
All donations made throughout the fiscal year (including Giving Campaign donations) will count towards becoming a member of the President's Club.

 

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Thank you for supporting the 2025 Give to What You Love Campaign!

Questions? Contact Fallon Warwick, Donor Database Manager at 443-591-6435 | fwarwick@lifebridgehealth.org.