Employee Casual Fridays Enrollment Form - Cambridge Memorial Hospital Foundation

Participate in Casual Fridays for CMHF with a $4 per pay donation.

Your giving total will appear on your T4 at year-end. You may change your amount or cancel at anytime.

Employee Information
Name*
First Last
Address*
Street Address Address Line 2 City Province Postal Code
Home Email
Home Phone
Hospital Email*
Hospital Extension*
Casual Fridays
Casual Fridays*
- Yes! I would like to participate in Casual Fridays and make deductions directly through payroll to CMH Foundation. Please deduct $4 per pay from my paycheck until I notify you in writing to cancel.