How to Make A Donation to Newark Beth Israel Medical Center Foundation

Ways You Can Give

How to Make A Gift

Thank you for your support of the Newark Beth Israel Medical Center Foundation. To make a donation please choose from the following options:

1. Make a Secure Online Donation

2. Mail your donation with our downloadable Gift Form - 66 KB (available as a PDF file)

3. Print this page and mail to:

The Newark Beth Israel Medical Center Foundation
Newark Beth Israel Medical Center
201 Lyons Avenue
Newark, NJ 07112

Thank You! Every gift is important and greatly appreciated.

Name________________________________________________

Street Address_________________________________________

City____________________State_________Zip______________

Email__________________________

Phone ( ___ )______________ (day)

Please designate my gift:

___	*Area of Greatest Need*	___	Born at The Beth	___	Children’s Hospital of NJ
___	Emergency Services	___	Geriatrics	___	Surgery
___	Women’s Health	___	Renal Services	___	Internal Medicine
___	Cardiac Services	___	Oncology and Blood Disorders & Scholarship	___	Nursing Education
___	Other ____________________________________

Gift Amount $_____________

____ My check is enclosed or ___ My Credit Card information:

___ Visa ___ Mastercard ___ American Express ___ Discover

Card # ________________________________ Exp. Date __________

Signature_________________________________

Will your company match your gift?? ___ yes ___ no

If yes or not sure, name of company ___________________________

Gift is: ___ In Honor of ___ In Memory of ________________________

Please acknowledge this gift was made “In Honor of” or ”In Memory of”
to:

Name___________________________________________

Address_________________________________________

City, State, Zip_____________________________________

I would also like to receive the following information:

___ I am interested in learning more about Planned Giving/Annuities

___ I am interested in information about ________________________

___ Please call me – the best time to reach me___________________

How did you hear about us? _________________________________

It is the policy of the Foundations affiliated with the Saint Barnabas Health Care System not to sell or provide donor lists or donor information to other organizations.

All gifts are tax deductible to the fullest extent allowed by law
Thank you for your support!

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