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TEAMMATE GIVING CAMPAIGN 2026
First name
Last name
Email
Teammate Department
Teammate ID (begins with a 6 or 8)
Teammate U-Number
Type of Donation
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Required
Payroll Deduction
Cash or Check
Frequency of Payroll Donation
I understand that the donation amount below will be deducted from my paycheck for 26 pay periods
Donation Amount
I wish to designate my gift to the following fund (please select only one fund):
Unrestricted gift (area of greatest need)
Diabetes Prevention
Scholarships
Teammate Crisis Fund
In-Patient Food Pantry
T-Shirt Size (for donations over $260/annually)
I wish to remain anonymous
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