Trinitas Health Foundation

*= required fields

My First Name*

My Last Name*

Company/Organization (if applicable)

Address 1*

Address 2

City*

State*

Zip*

Email Address*

Phone Number (ex. 555-555-5555)*

I would like to make a gift to Trinitas Health 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:
COVID-19 Emergency Fund
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

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 Nadine 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 Health 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)]