The Tuomey Foundation

Serving our community since 1994

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Payroll Deduction Form

For helping support our Panda Warmers campaign, you will receive the following reward based on your contribution:

  • T-shirt – $25 Donation
  • T-shirt/Ice Cream – $2/pay period or $50 Donation
  • Tuomey Society Gala/T-shirt/Ice Cream – $39/pay period
The Tuomey Foundation Giving Campaign – 2025

The Tuomey Foundation Team Member Payroll Deduction Authorization Form

Name
Name
First
Last
Choose your payroll deduction amount
T-Shirt (Minimum: $25 Donation)
Agree to Terms and Conditions
I authorize payroll deduction in the amount indicated per pay period as my gift to the Prisma Health Team Member Giving Campaign. I understand that at any time, I can raise, lower, or cancel my contribution by notifying The Tuomey Foundation via email or in writing.