Donation Form

Ridgeview Friends & Family, Ridgeview Foundation’s largest giving club, combines community members and employees in a collaborative effort to support Ridgeview. Inspired by the desire to provide exceptional health care for our region, Ridgeview Friends & Family donors are united by their commitment to Ridgeview’s patients and families.

Question Title

* 1. Name:

Question Title

* 2. Employee Number: 

Question Title

* 3. Ridgeview Department & Cost Center:
Example: Foundation 7970

Question Title

* 4. Address:
Please include City, State & Zip Code

Question Title

* 5. Work Email Address:

Question Title

* 6. Phone Number:

Question Title

* 7. I'm pleased to donate the following item(s) to Ridgeview Foundation:
If more than one item, please include quantity.

Question Title

* 8. I would like to support the following Campaign Priorities (maximum of 3 campaign priorities):

Question Title

* 9. This gift is a tribute:

Question Title

* 10. Name(s) for the tribute:

Question Title

* 11. Payroll Deduction
Payroll deductions are continuous unless otherwise directed.

Question Title

* 12. One-Time Payroll Deduction
Please enter payroll deduction amount:

Question Title

* 13. One-Time PTO Donation (# hours)
Employees will relinquish their chosen amount of PTO hours to Ridgeview. Ridgeview will then donate the full cash value directly to the Foundation. There are no taxes due from the employee nor will the employee be able to receive a tax deduction for the donation.

Question Title

* 14. Credit Card
Click on the link to make an online donation, https://connect.clickandpledge.com/w/Form/7cdd4814-89be-4d01-b69d-5002f24a76dc?prv=492663

Question Title

* 15. Cash or Check

Question Title

* 16. I'm interested in learning of ways to include Ridgeview in my estate plan or will.

Question Title

* 17. I am interested in joining the Ridgeview Friends & Family Committee.

T