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Employee Giving Donation Form

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.
1.First & Last Name:(Required.)
2.Employee Number: (Required.)
3.Ridgeview Department & Cost Center:
Example: Foundation 7970(Required.)
4.Work Email Address:(Required.)
5.I would like to support the following campaign initiative.
6.This gift is a tribute:
7.Name(s) for the tribute:
8.Payroll Deduction
Payroll deductions are continuous unless otherwise directed.
9.One-Time Payroll Deduction
Please enter payroll deduction amount:
10.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.
11.Credit Card
Click on the link to make an online donation, https://www.classy.org/give/550448/#!/donation/checkout
12.Cash or Check
Please send directly to the Foundation Office, 490 S. Maple St., Suite 110, Waconia
13.I'm interested in learning of ways to include Ridgeview in my estate plan or will.
14.I am interested in joining the Ridgeview Friends & Family Committee.