VGH & UBC Hospital Foundation Employee Giving Program

1. YOUR INFORMATION

First Name *

Last Name *

Employee # *

Home Address *

City *

Province *

Postal code *

Phone *

Preferred Email *

2. YOUR DONATION

I authorize the following gift amount to be deducted from my pay every pay period until I cancel.
*Your payroll deductions will appear on your T4 slips. You will not receive a separate tax receipt.

PAYROLL DEDUCTION

$5/pay period ($130/yr)

$20/pay period ($520/yr)

$10 /pay period ($260/yr)

Other Other

ONE-TIME GIFT

3. YOUR SUPPORT

Please direct my gift to:

Most Urgent Needs

Other fund name Other fund name

4. CREDIT CARD PAYMENT

If you would like to donate using your credit card, please complete one of the online forms below. To protect your personal information, please do not email credit card details.

MONTHLY DONATION

ONE-TIME GIFT

5. SUBMIT FOR PAYROLL GIVING

Please click the submit button to process. This form will go directly to our Annual Giving team. You will receive a notification that your Employee Giving form has been received. If you have any questions, please do not hesitate to contact us at Giving@vghfoundation.ca.

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THANK YOU for your support

Your donation helps ensure the very best in patient care, equipment, and research in support of the mission of the Foundation.

The receipting and management of gifts are subject to the Canada Revenue Agency and the Foundation Board approved policies.
Charitable registration number 13217 3063 RR 0001