McLaren Bay Medical Foundation Pledge Card for Employee Giving Campaign

*Indicates required information

Contact Information

Donation Information

If Other, enter in one of the following:

Donations of $100 or more will be recognized as part of our Cornerstone or Keystone Giving Club.

Cornerstone Club
Bronze Level - $100 - $399
Silver Level: $400 - $699
Gold Level: $700 - $999

Keystone Club
Bronze Level - $1,000 - $3,999
Silver Level: $4,000 - $6,999
Gold Level: $7,000 +

Donors to the Cornerstone or Keystone Giving Club qualifies you to receive a donation certificate frame.

By submitting this form, I certify that I am the Employee listed on this form:

Note: To make it easier for you to give, your payroll deduction gift will remain in effect until you notify the Foundation of a change. At any time, you may choose to redirect your gift or make updates.