Employee Giving Campaign Form 2020

Optimal Hospice Foundation is a non-profit organization established to commit its resources to activities which are intended to ensure hospice care & other compassionate programs are available for families facing a life-limiting illness with emphasis on the underinsured/uninsured. Programs include hospice care funding & bereavement support including an annual Kids Camp for children who have experienced the loss of a love one.

Please select ONE of the 5 options below:

Amount of one time donation
AMOUNT PER PAY PERIOD
NUMBER OF PAY PERIODS
Campaign Prizes - Donations of $10 - $14 enter t-shirt size. Donations of $15 or more please select from a Polo Shirt or Scrub Top. Not eligible if you received a shirt/polo/scrub in 2019. All donors will be eligible for new shirt/polo/scrub in 2021)