Together Associate Campaign - Credit Card Donation

Associates provide financial assistance to many areas of HaysMed through the HaysMed Foundation.


Donors to the Associate Campaign will be entered in drawings for great prizes including:
32" HDTV with Smart Technology, Alexa & Amazon Gift Card, RCA Tablet with Keyboard, Fuel and Carwash,
Dinner and Movie, Clothing with New Logo, Redbox and Treat Package, CHI Day Passes and Massage

If you are a new donor or your pledge is at least 10% more than last year's gift,
your name will be placed in a separate drawing for a
$50 Amazon Gift Card

Everyone who pledges at least $52 will receive a Notebook and Pen!
Donations are requested but not necessary to participate.
Winners will be announced at the end of the campaign.

Submit this completed form, or return your pledge card to the HaysMed Foundation by:
September 7 - Receive three additional chances for the drawings
September 14 - Receive two additional chances for the drawings
September 21 - Receive one additional chance for the drawings


Gift Information
Select if you would like to repeat this gift on a regular basis.  Your credit card will be charged the donation amount each week, month, year, etc. per your preference.
Billing Information