Choosing to donate to the Trinity Matters Associate Campaign says that you believe so strongly in what happens at Trinity that you are willing to support it above and beyond your everyday work by making a gift.

* Indicates required information
Name * 
Home Phone * 
Department * 
Work Phone * 
Birthday * 
Home Address * 
City * 
State * 
Zip * 
I am an employee of:  


Yes, Unity Matters to Me! (Please indicate your preference by selecting an option below:  
PAYROLL DEDUCTION 
I would like to contribute money per pay period.
(only full-time employees 32+ hours are eligible) 
EARNED TIME HOURS 
I would like to contribute a gift of Earned Time
PLEDGE OF CASH 
I would like to pledge a gift of cash: 
I would like my one time pledge of cash to be billed: 


ONE TIME GIFT OF CASH 
I would like to contribute a one time-gift of money and pay through one of the following ways:  
Employee Payroll Deduction (choose one) 




Check payable to Trinity Health Foundation 
Credit Card 

Credit Card Account Number 
Expiration Date 
3-digit SEC Code 
Choose where your gift goes (select up to a maximum of two) 
I would like my gift to go to the following: * 









If Other, please specify:

My spouse's employer has a matching gift program 
I would like more information about including Trinity Health Foundation in my estate plans. Please contact me.  

Signature * 
Date *    (mm/dd/yyyy)