Radiothon Employee Payroll Deduction Authorization Form

Please use this form for new bi-weekly Payroll Deductions (you did not make a bi-weekly deduction during Radiothon in August 2020) and one-time Payroll Deductions. The expected date for payroll deductions to begin within the next three pay periods.

For more information, please contact Cyndie Ford at the Office of Philanthropy at 864-797-7705 or email her at Cythia.Ford@prismahealth.org.

Radiothon Employee Payroll Deduction Authorization Form
Street Address
Street Address 2
City
State/Province
Zip/Postal