Conway Regional Health Foundation
First / Last name
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Department
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ACUTE CARE/NURSING
ADMINISTRATION
AMB SURGERY
BUSINESS OFFICE
CENTRAL SUPPLY
DARDANELLE CLINIC
DARDANELLE IOP
DIABETES EDUCATION
EMERGENCY ROOM
ENVIRONMENTAL SERVICES
HEALTH INFORMATION SERVICES
LABORATORY
MAINTENANCE
NUTRITION
PHARMACY
PHYSICAL THERAPY
RADIOLOGY
RESPIRATORY THERAPY
SENIOR BEHAVIORAL HEALTH
SWINGBED
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I would like to make a commitment of:
$10 per pay period
$5 per pay period
$4 per pay period
$104 one time payroll deduction
Other:
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If you would like to split your gift between both funds, please select both funds.
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Clear choices
Sharon Rogers Benevolence Fund
Annual Fund-Area of Greatest Need
Please select your size below to receive the Employee Giving Logoware as a thank you for your commitment.
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Prize Selection
6 Month Reserved Parking (2)
iPad Donated by Bargain Brothers
Vitality Medspa Diamond Glow Facial
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SUBMIT FORM
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