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Supporting St. Christopher's Hospital for Children
Your Donation
Donation Option
*
One-Time
Monthly
per month
Yearly
per year
Donation Amount
*
Donation Amount
*
$
/
Maximum Amount to Donate (Optional)
$
Total
What area do you want your campaign to support?
*
[Select...]
Unrestricted (Area of greatest need)
Burn Center
Cardiology
Back-to-School Carnival
Child Life
GI (Gastroenterology)
Neurology
NICU (Neonatal Intensive Care) Unit
Orthopedics
Reach Out and Read
Social Work
Virtual Toy Drive
Sloane Squad
Opthamology
Gregory E. Halligan Endowed Fund
Dental Service
General Surgey
Office of Community Engagement
What is your affiliation to St. Chris?
*
[Select...]
Friend
Staff
Please indicate if there is a joint donor associated with this contribution.
*
[Select...]
No
Yes
Please enter the joint donor's name.
*
Please enter the joint donor's relation to you.
*
Is this in memory or in honor of someone?
*
[Select...]
No
Yes, in honor of
Yes, in memory of
Please share the full name of the person it is in honor of:
*
Please share the full name of the person it is in memory of:
*
How did you learn about St. Christopher's Hospital for Children?
Corporate Giving
Individual Gift
Gift on behalf of my company
Employer Name
Company Name
Payment
Payment Method
*
{accountType} ending in {accountLastFour}
{accountType} ending in {accountLastFour}
Choose a different way to pay
Choose a different way to pay
Contact Details
Name
*
First Name
Last Name
Show my name as (Optional)
Email Address
*
Donate with Credit Card
Donate {amount}
Donate with Bank Account
Venmo
description
Yes! I’d like to cover processing costs. (
per month
per year
per
)
Set a time limit on monthly donations?
*
No
Yes
Donate for
*
Months
Enter a duration between 2 and 99 months.