GIVING OPTIONS

Choose the best option for you.

Splash Club - 1 Hour's pay every 2 weeks (pay period)

Any dollar amount - per pay every 2 weeks (pay period)

Any dollar amount - one time total donation.

Sample payroll deduction amounts

Annual Gift	Amount Per Pay
$1,200	$46.15
$1,000	$38.46
$800	$30.77
$500	$19.23
$250	$9.62
$200	$7.70
$150	$5.77
$100	$3.85

Recurring Credit Card Donations are scheduled to donor's preference.

Join Our Crew with your PAYROLL DEDUCTION

Printable donation form

Ask a question via Email

Fields marked * require an entry.

Join Our Crew!

PLEASE NOTE: Forms must be submitted by 11:59 pm on Wednesday, October 16th to be eligible for drawings on October 17th.

Employee Credit Card Donation Form

Donation Amount:

Fund Designation:*

This donation qualifies for Splash Club. (Hourly Rate/pay x 26 pays):

Yes

Employee Information

Department:*

I am employed by:*

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Mobile Phone:

Home Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:*

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.