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  • Donation by Mail Form

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    TheFloatingHospital
    33 views1 page
    This donation form requests contact and payment information to process a contribution to The Floating Hospital Foundation. Required fields include the donor's name, address, phone number, email, gift amount, and payment method. It also provides options to designate the gift as a tribute and send a notification to another individual. Any tribute information submitted will not be solicited or stored in the organization's database.

    Original Description:

    Use this form to make a donation by mail to The Floating Hospital.

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    © Attribution Non-Commercial (BY-NC)

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    This donation form requests contact and payment information to process a contribution to The Floating Hospital Foundation. Required fields include the donor's name, address, phone number, email, gift amount, and payment method. It also provides options to designate the gift as a tribute and send a notification to another individual. Any tribute information submitted will not be solicited or stored in the organization's database.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    33 views1 page

    Donation by Mail Form

    Uploaded by

    TheFloatingHospital
    This donation form requests contact and payment information to process a contribution to The Floating Hospital Foundation. Required fields include the donor's name, address, phone number, email, gift amount, and payment method. It also provides options to designate the gift as a tribute and send a notification to another individual. Any tribute information submitted will not be solicited or stored in the organization's database.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 1

    Donation Form

    *Indicates information required to process your contribution.

    Date: _________________________

    *Name: ______________________________________________________________________________

    *Address: ____________________________________________________________________________

    ____________________________________________________________________________________

    *Telephone: (H)___________________________________(W)_________________________________

    Email Address: _______________________________________________________________________

    *Gift Amount: ________________________________________________________________________

    *Payment Method: Check Enclosed Visa MasterCard AMEX

    Please make checks payable to The Floating Hospital Foundation

    Credit Card Number: ____________________________________________________________

    Expiration Date: ________________________________________________________________

    Name (as it appears on card): _____________________________________________________

    Billing Zip Code: ________________________________________________________________

    I have submitted this contribution for a matching gift from my employer ___________________

    Please complete if you would like to designate this as a tribute gift:

    In honor of: ___________________________ In memory of: ________________________

    Send notification to Name: ___________________________________________________

    Address: _________________________________________________________________
    Any name or information submitted as a tribute in honor of or in memory of will not be solicited or stored in our
    database to protect the integrity and intention of the donor.

    Mail completed form to: The Floating Hospital


    ATTN: Development Department
    Grand Central Station
    PO Box 3391
    New York, NY 10163-3391

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