Giving From Within Donation Form

Choose a Giving Option

How would you like to give?*

CHRISTUS Spohn Giving Hour Society
Recurring Payroll Deduction
One Time Payroll Deduction
Secure Online Payment
Cash or Check

We invite you to become a member of the CHRISTUS Spohn Giving Hour Society with your donation pledge of one hour per pay period at your current pay rate. Those who sign up will earn special gifts and recognition throughout the year.

I authorize CHRISTUS Spohn payroll to deduct one hour per pay period at my current pay rate, beginning with the next pay period.

Cash or Check

Please make checks payable to:
CHRISTUS Spohn Health System Foundation

Please mail your gift to the following address:
CHRISTUS Spohn Health System Foundation
600 Elizabeth Street
Suite 605
Corpus Christi, TX 78404

Designate Your Gift

Select recipients*

You may choose one or two recipients; if two, your donation will be split 50/50 to each.

Your Information

Name*

First Last

Email*

Phone*

Department*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Secure Online Payment (Credit Card)

Donation Amount*

Other Amount*

Total

$0.00

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Designate Your Gift

Select recipients*

You may choose one or two recipients; if two, your donation will be split 50/50 to each.

Your Information

Name*

First Last

Email Address*

Phone*

Department*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Payroll Deduction

I authorize CHRISTUS Spohn payroll to deduct the following amount from the next pay period.*

Designate Your Gift

Select recipients*

You may choose one or two recipients; if two, your donation will be split 50/50 to each.

Your Information

Name*

First Last

Email*

Phone*

Department*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Payroll Deduction

I authorize CHRISTUS Spohn payroll to deduct the following amount per pay period, beginning with the next pay period.*

Recurring gifts will automatically renew each fiscal year until donor requests amount to be amended or canceled.

Designate Your Gift

Select recipients*

You may choose one or two recipients; if two, your donation will be split 50/50 to each.

Your Information

Name*

First Last

Email*

Phone*

Department*

Address*

Street Address Address Line 2 City State ZIP Code

Designate Your Gift

Select recipients*

You may choose one or two recipients; if two, your donation will be split 50/50 to each.

Your Information

Name*

First Last

Email*

Phone*

Department*

Address*

Street Address Address Line 2 City State ZIP Code

Email

This field is for validation purposes and should be left unchanged.

Giving From Within Secure Online Donation Form

Choose a Giving Option

Cash or Check

Designate Your Gift

Your Information

Secure Online Payment (Credit Card)

Designate Your Gift

Your Information

Payroll Deduction

Designate Your Gift

Your Information

Payroll Deduction

Designate Your Gift

Your Information

Designate Your Gift

Your Information

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