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Make a Gift
Tori Behr
2018-10-31T17:29:07-04:00
Make a Gift
By making a gift to The Upper Chesapeake Health Foundation, you are supporting University of Maryland Upper Chesapeake Health’s mission to provide unparalleled health care to our community—today, tomorrow, and into the future.
Your gift makes a difference for patients and families right here in our community.
Gift Information
Please accept my gift of:
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$1,000
$500
$250
$100
$50
$30
Other
Custom Defined Price:
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Please use my gift to support:
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The Greatest Need
Cancer LifeNet at the Kaufman Cancer Center
The Klein Family Harford Crisis Center
The Senator Bob Hooper House
The Heart and Vascular Institute at UM UCH
The COVID-19 Response Fund
The Employee Assistance Fund at UM UCH
The Technology and Innovation Fund at UM UCH
Check here if you would like to make this a reoccurring gift:
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Other Reoccuring Option:
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My gift is being made:
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Gift Donation
In Memory of a Loved One
In Honor of a Loved One
In Honor of a UM UCH Health care Professional, Physician, Team Member or Department
In support of a Community Fundraising Event
Event Name
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In Memory Of
Honoree Information
Name of Person:
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Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
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Last
Suffix
Person being Remembered or Honored is/was my:
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Wife
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Physician
Other
Other:
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Please identify who you would like us to notify about your gift:
Please note: When you make a gift, an acknowledgement card will be sent to the designated person, without referencing your gift amount.
Full Name
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Mrs.
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First
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Address
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Street Address
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Relationship to person being Remembered or Honored:
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Wife / Husband of
Daughter / Son of
Parent(s) of
Grandparent(s) of
Family of
Friend of
Patient of
Optional - Include a short note or comment you would like us to share:
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Please type your name as you wish for it to appear in donor or sponsorship recognition materials.
Department:
Please note: When you make a gift, an acknowledgement card will be sent to the designated person, without referencing your gift amount.
He/She was special because:
Personalize your message.
Your Signature:
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How your name should appear on the card.
Please check here if you wish to be listed anonymously
Contact / Billing Information
Name
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Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Middle
Last
Suffix
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
I'm interested in learning more about
I'm interested in planned giving opportunities:
Planned giving opportunities
The John Archer Society is UM UCH’s Planned Giving Society. You’ll be contacted by a member of our Foundation team to discuss opportunities to make an estate or life income gift.
I'm interested in volunteer opportunities with Upper Chesapeake Health:
Volunteer opportunities with Upper Chesapeake Health
There are many ways to get involved and we’d love to have your help.
I'm interested in physician led educational seminars:
Physician led educational seminars
Stay connected! We’ll add you to our UM UCH mailing list for upcoming health care events.
Payment Information
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Card Number
Month
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Year
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Total
$0.00