Ways to Give
Donate
Impact
Events
Leadership
News

Baptist Health Care Foundation

Leave this field blank

All gifts are tax deductible to the extent allowed by law. For questions, please call the Baptist Health Care Foundation at 747-4534 or email foundation@baptistfirst.org.

Dr.Mr.Mrs.Ms.

EMPLOYEE NAME

PREFERRED EMAIL

ADDRESS

CITY

STATE

ZIP

EMPLOYEE ID NUMBER

DEPARTMENT

FACILITY LOCATION: BMCEBMCSPBHDeBoerBRCFamily ResidencyCrossbridgeMontgomery Surgical CenterMontgomery Cancer CenterPrattville Medical ParkOther/Physician Practice

If select Other/Physician Practice:

I PLEDGE AN ONGOING PAYROLL DEDUCTION PER PAY PERIOD OF: $2$4$6$8$10$20$50$100Other

If select Other:

I AM PAID: BiweeklyMonthly

New payroll deductions will begin in December 2024. All pledges will be ongoing. You may contact the Foundation at any time to change or discontinue your pledge.

I WISH TO PLEDGE A ONE TIME GIFT OF:

Payroll deduction ($25 minimum)CheckCash

I already participate and would like to increase my donation to:

PLEASE CHECK THE FUND YOU WISH TO SUPPORT. IF NO FUND IS CHECKED, YOUR GIFT WILL SUPPORT THE AREA OF GREATEST NEED.

A maximum of two funds may be selected. * New This Year

Chaplain’s FundDiabetes FundTeam Member Emergency Assistance FundEXTRA FundHospice Patient FundInstitute for Patient Safety and Medical Simulation FundMontgomery Cancer Center Special FundNICU FundKathy and Kathryn Kelley Bible FundArea of Greatest NeedCrossbridge Patient FundMedical Outreach MinistriesCancer Wellness FoundationBridging the Gap - DEI Scholarship*Cardiac Rehab Patient Fund*Scholarships (specify scholarship)Other (specify)

If select Scholarships or Other:

I understand and acknowledge that all pledges will be ongoing.

SIGNATURE

Newsletter Signup

Leave this field blank

Name

Ways to Give
Donate
Impact
Events
Leadership
News
Donate Now

Baptist Health Foundation

Baptist Health Care Foundation 334-747-4567 P.O. Box 241647, Montgomery, AL 36124-1647