Trinitas Foundation: Donate Now
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My First Name
*
My Last Name
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Company/Organization
(if applicable)
Address 1
*
Address 2
City
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State
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Zip
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Email Address
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Phone Number
(ex. 555-555-5555)
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I would like to make a gift to Trinitas Foundation:
A one-time contribution in the amount of $
I would like to make a recurring gift in the amount of $
to be paid:
monthly
quarterly
annually
Please use my donation for:
Trinitas Grateful Patient Program
My gift is in honor of:
Department :
Trinitas Annual Giving Fund
Trinitas Restricted Giving
Specify Center or Department:
Trinitas Tribute Gift Program
Trinitas Employee Giving Program
Taking Care of My Hospital
Taking Care of My Own
Taking Care of My Hospital
%
AND Taking Care of My Own
%
Trinitas Special Fund Raising Events
Specify Event:
Trinitas Behavioral Health Programs
Trinitas Raffle
Specify Raffle:
NOTE:
If you are making a donation of $2,500 or more, please contact the foundation at
908-994-8249
.
Use the Contact Information (above) as the Billing Address.
This gift is made in recognition of someone special:
In honor of:
In memory of:
The reason why I want to honor this person is (e.g. birthday or anniversary or wonderful care):
Please indicate the address to which a tribute card should be sent. If this gift is in memory of a loved one, please indicate the family member who should be notified:
Name
Address 1 or Medical Center Department
Address 2
City
State
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip
Notes (250 character limit):
If you are making a donation of more $2,500 or more and you would like to
discuss your gift, please call Laura Ciraco at the Foundation at 908-994-8249.
Fundraising Communications
If you do not want to receive any fundraising requests in the future, you may contact The Trinitas Health Foundation at 908-994-8249. Information filed with the Attorney General concerning this charitable solicitation may be obtained from the Attorney General of the State of New Jersey by calling (973) 504-6215. Registration with the Attorney General does not imply endorsement.
Refund Policy:
By making a charitable gift to Trinitas Foundation, a 501(c)(3) organization, the donor understands that charitable donations are not refundable. [164.514(e)] [164.514(f); 164.520(b)(1)(iii)(B)]