Pledge Form

CONTACT INFORMATION
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SELECT A DONATION AMOUNT
All payroll deductions will begin on the 1st payroll after the form is processed by Human Resources unless otherwise indicated.
DONATION INFORMATION
THANK YOU FOR YOUR SUPPORT!
Payroll deduction donations will renew automatically unless otherwise indicated by the employee. You may change or stop payroll deduction at any time with a written request to the Human Resources Department. Return completed forms to the Grady Health Foundation. For more information, please contact the Grady Health Foundation at 404.489.1556.