Honour a Health Care Champion

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$300.00

$150.00

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$50.00

Other Amount: ($5 min)

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Honour Your Health Care Champion or Team

Honour Gift Type:

Health Care Champion's First Name:

Health Care Champion's Last Name:

Hospital Site:

Department:

Message to Health Care Champion or Team:

Where Would You Like to Give?

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Use my gift where it is needed most

Donor Information

First Name:

Last Name:

Address:

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I would like to make this donation anonymously

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Expiration Date:Select month of credit card Select Expiration Year

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*In the event that Trillium Health Partners Foundation (THPF) is unable to allocate funds as directed per the donor’s specified designation, the donor agrees to permit THPF to redirect this donation to support the area of greatest need.