Make a Donation to NDH Foundation
To make a donation, please print this page and fill out the form below.
Donations are sent to: NDH Foundation, P.O. Box 5002, Rhinebeck, New York 12572
| Giving Clubs |
Friends |
| Stewardship Society |
Gifts of $10,000 or more |
| Benefactor's Society |
Gifts of $5,000 to $9,999 |
| Patron's Society |
Gifts of $2,500 to $4,999 |
| Beatrice T. Cozine Club |
Gifts of $1,000 to $2,499 |
| Founder's Society |
Gifts of $500 to $999 |
| Cornerstone Club |
Gifts of $250 to $499 |
| Century Club |
Gifts of $100 to $249 |
| Foundation Friends |
Gifts of $1 to $99 |
The Jane Braitmayer Smithers Bequest Society recognizes donors who have arranged for gifts through deferred estate plans. Please call the NDH Foundation Office if you wish to discuss planned giving options.
Choose to make a difference!
Enclosed is my/our tax-deductible gift in the amount of $_______________ in support of the Annual Fund. Please make checks payable to NDH Foundation. If you or your spouse work for a matching gift company, please enclose the company's matching gift form. If you prefer, you may charge your gift to:
 Visa or Mastercard
Account _____________________________________________
Exp. Date _______________________
Signature ________________________________________________
Your gift does make a difference!
Mr. Ms. Miss Mrs. Mr. & Mrs.
Dr. Dr. & Mrs. Drs. Other:___________
Name __________________________________________________
Address __________________________________________________
City/State/Zip _____________________________________________
Unless specified as anonymous, gifts will be acknowledged in certain Hospital publications.
Please check here if you wish this gift to be anonymous.
Thank you for your support! |
|
|
