Employee & Contracted Staff Credit/Debit card Donations
Visit our
2024 annual campaign funds
page for a list and description of campaign funds.
Donation Information
Enter amount of donation, choose the fund from the drop-down list, then click Add Donation. To donate to multiple funds, repeat the steps for each fund. When finished, adjust amounts if needed.
Amount:
$
*
Designation:
Schuyler General Capital/Equipment
Other
Other
*
Additional Information
Pledges have a start and end date, and a total donation divided into scheduled multiple payments. Recurring Gifts have a start date, the gift amount repeats per your chosen schedule, and continue until you cancel the gift.
Type of gift:
One-time gift
Recurring gift (To have your gift charged bi-weekly on paydays, choose the frequency FRIDAY OF EACH WEEK, & choose YES in the bi-weekly option below)
Pledge
Frequency
Weekly
Monthly
Quarterly
Annually
On:
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Starting:
Ending:
Ending:
Anonymous:
I prefer to make this donation anonymously
Questions or Comments
Employee Department:
*
Employee Work Location:
*
Bi-weekly Recurring Gift:
<Please select>
Yes
No
*
How did you hear about us?:
<Please select>
Direct Mail Appeal
Donor Advised Fund (DAF)
Email
Event
Flyer (posted at work)
Grant
Hospital
In-Person Solicitation
IRA - Hospital Deposited
MobilePay
P2P/Neon Fundraise
Payroll
Phone
Recurring Batch
SMS/Text
The Giving Block
Unsolicited Bequest
Website
Other
*
Billing Information
Title:
<Please select>
Capt.
Chief
Cmsgt.
Dr.
Fr.
Lt.
Lt. Col.
Major
Mr.
Mre
Mrs.
Ms.
Msgr.
Reverend
Sheriff
*
First name:
*
Last name:
*
Country:
United States
*
Address lines:
*
City:
*
State:
<Please Select>
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
AB
AE
AP
AS
BC
CZ
FM
GU
MB
MH
MP
NB
NL
NS
NT
NU
ON
PE
AA
PR
PW
QC
SK
VI
YT
*
ZIP:
*
Cell Phone
Work Email
*
Payment Information
Cardholder's Name:
*
Credit Card Number:
*
Card Type:
Visa
American Express
Discover
MasterCard
*
Card Expiration:
01
02
03
04
05
06
07
08
09
10
11
12
/
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
*
Card Security Code:
*