Pledge Card - Allina

WORKPLACE PLEDGE CARD - ALLINA HEALTH

Your Name
Your Contact Information
Donation Method
Payroll Deduction
$
Credit Card Donation
$
$
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Total Annual Contribution
0
Donation Details
Please provide nonprofit name. If your designation is not a Rice County United Way nonprofit partner, please provide address and EIN number. 
See our Partner Agencies. 
Agreement
My signature below, confirms my pledge as stated above.

 

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