Survey - 2023 We Got Heart Employee Giving - Payroll Deduction

Taking place this year from July 10 - Aug. 4 the We Got Heart Employee Giving Campaign aims to foster a culture of philanthropy among Phoenix Children's employees and generate financial support to philanthropic activities.

Please complete the following form to give via payroll deduction -OR- if you prefer to give via credit card, visit our online credit card donation form.

Employee Information

Please use your Phoenix Children's email address


*	First Name: Required
*	Last Name: Required
*	Email: Required
	If you respond and have not already registered, you will receive periodic updates and communications from Phoenix Children's Foundation.

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Question - Required - Employee Number: (found in employee portal)

*

Question - Required - Department

Question - Not Required - OTHER Department

Gift Information

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New Reoccurring Payroll Deductions ONLY. All new payroll deductions will begin in January 2024 and will continue every year until you ask PCH Foundation to stop. If you already have an existing payroll deduction and have questions, please contact wegotheart@phoenixchildrens.com

(Select one of the available choices or enter a different value.)
Question - Required -

Or

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One-time gift of:

(Select one of the available choices or enter a different value.)
Question - Required -

Question - Not Required - Select if you choose to not give at this time

Fund Selection

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Question - Required - Please Select One of the Following:

Question - Not Required - If "Other" selected, please enter the fund you would like to support:

T-Shirt Selection

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Question - Required - T-Shirt Size : For gifts of $5 per pay period (or $130 or more), please select your t-shirt size. (While Supplies Last, all sizes are unisex)

Question - Not Required - Notes about your gift

(Maximum response 255 chars, approx. 5 rows of text)

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Question - Required - Please type your name to confirm your We Got Heart payroll deduction pledge.