Webform myGiving: Grayling Hospital Lights of Love First Name Last Name Email Telephone Address 1 Address 2 City State - None -AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Your Information Employee Number Department Your Gift Amount Select the amount per pay period for your gift. If you wish you change or end your giving at any time, you may do so by notifying the Foundation in writing. Gift Amount $4 per pay $10 per pay $20 per pay $40 per pay Other amount per pay (enter amount below) Other one-time gift (enter amount below) Other: Enter the amount you wish to contribute per pay period. Other: Enter the amount for your one-time gift. Your Gift Designation Please select the Fund to which you'd like your gift applied. If you have questions about other funds, please contact the Foundations at 231-213-1150. Lights of Love to support the Patient Needs Fund Other Fund I would like my gift to be made as a tribute to the following person. Complete all required fields above and click the Submit button to make your gift. You will be redirected to a confirmation page. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.