Bi-Weekly Payroll Deduction

There is a minimum of $1/pay period for biweekly payroll contributions. New or revised biweekly payroll deductions will begin in your May 3 paycheck. Donating through biweekly payroll deduction is not available for per diem employees. If you are per diem employee please consider a one-time payroll deduction. Your new bi-weekly payroll deduction will be ongoing and will not need to be renewed next year.

If you have an existing biweekly payroll deduction for Employee Giving, you do not need to fill out this form.  Please contact the Philanthropy office if you have not received your t-shirt and would like one.  

Please contact Kate Leahy in our Development Office at development@mainehealth.org, or 207-662-2669, with any questions or concerns.

Donation Information
$ 20.00
$ 10.00
$ 5.00
$ 2.00
$    
Additional Information
Your t-shirt will be delivered to you within 7 business days. In order to do so, you must provide detailed information about your office location. Unfortunately, we cannot mail to home addresses.
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Contact Information
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