UNC Rex Employee Giving - UNC Health Foundation

Contact Information

Name*

First Middle Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Phone Type*

Email*

I pledge to give:*

My pay period is:*

Gift Designation*

Please select the fund you'd like your gift to support. If you select more than one, your gift will be split evenly between selected funds.

Please list name and designation number of fund(s) you wish to support:

Please begin my payroll deduction*

Please start my payroll deduction on or after

Please continue my payroll deduction:*

Please note date you would like to end your payroll deduction.

This pledge should:*

Authorization*