Colleague Giving Payroll Deduction

Please complete the information below to submit your annual payroll deduction. Your donation will fund projects ranging from groundbreaking medical research to enhancing our campuses and community health programs. Your gift, no matter the size, makes a huge impact in the lives of our patients, employees and the community!

The Changing Lives Together colleague giving campaign closes September 9, 2024. You will see your first payroll deduction in your October 4 paystub.

For questions, please contact Anneliese Woodall at anneliese.woodall@stmarysathens.org or 770-617-0377.

Donation Information

St. Mary’s Foundation is a 501(c)(3) non-profit organization, and your gift is tax deductible to the full extent of the law. Donations may be given to a specific area or service or to the area of greatest need. Thank you for your support!

Amount:

$25.00

$20.00

$15.00

$10.00

$5.00

Donation Amount

Designation:

Additional Information

Employee ID:

Billing Information

Title:

First name:

Last name:

Country:

Address:

City:

State:

Zip:

Phone:

Email:

Confirm Email:

Colleague Giving Payroll Deduction

Donation Form