BCC One-Time/Tribute Gift - Stamford Hospital Foundation

I am proud to support
Stamford Health's Bennett Cancer Center

Stamford Health relies upon the generosity of individuals to sustain the hospital's margin of excellence. Annual donations to Stamford Health's Bennett Cancer Center directly contribute to every aspect of patient care. These gifts provide the most flexibility for the hospital, allowing us to respond to all types of patient needs, ensuring that our patients continue to get the best care, by the best caregivers, with the best technology and equipment.

One-Time/Tribute Donation

Tribute Information:

Yes, this is an honor or memorial gift

Honor Gift Type:

Honoree Name:

Recipient Title:

Recipient Name:

Recipient Street:

Recipient City:

State/Province:

Recipient ZIP Code:

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Signature:

Donation Amount:

Field Is Required Select Gift Amount:

$500

$250

$100

$50

$25

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Yes, I would like to make this donation anonymously

Donor Information:

First Name:

Spouse Name:

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Billing Information:

Title:

First Name:

Last Name:

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Address :

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Yes, I would like to receive updates, news, events and invitations from the Foundation.

How would you like to be recognized in publications/website:

Credit Card Information:

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Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Matching Gift:

Many corporations and businesses sponsor matching gift programs that will match charitable contributions made by their employees, employee's spouse or partner, or retirees.

If your company is eligible, request a matching gift form from your employer, and send it completed and signed with your gift. We will do the rest. The impact of your gift to Stamford Hospital may be doubled or possibly tripled!

This charge may appear on your credit card statement as Stamford Hospital or BLK Nonprofit (out of CA)