Community Pledge Form
- If you are a member of the community who would like to make a donation to The Campaign for Baystate Medical Center.
Baystate Employee Pledge Form (with payroll deduction)
- If you are an employee of Baystate Health who would like to make a donation to The Campaign for Baystate Medical Center.
** As we begin the design process, we want to inform you of the format we must use in order to list names in a consistent fashion on this wall of honor. Please know that while we have to format the names on wall, we will recognize you as you wish in all other areas and publications.
All names appearing on the wall will be listed as the employee’s first and last name only, however please let us know if you wish to include your partner in your listing. If you would like to include your partner, the employee’s name will come first in the listing.**
-Jane Doe (employee, no partner included)
-Jane and John Doe (employee Jane, partner with same last name)
-Jane Doe and John Smith (employee Jane, partner with independent last name)