Support the Critical Needs of Our Community

If you would like to make an online donation using our secure form, please complete the information below. Your gift will be processed by our Office of Philanthropy and an acknowledgement will be sent to the address you provide. If you prefer to mail or fax this form to our office, please choose “Mail or fax form with donation” from the “Payment Method” menu. Thank you for your support.
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Gift Information
I would like to make a one-time gift for the following amount:
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I would like to make a recurring gift.
Gift Amount* # of Payments Payment Frequency Total Gift Amount
$ X = $
NOTE: This transaction will count as the first payment toward your total gift amount.
Donor Designations
Your gift stays local to your community. You may choose to designate your gift to a specific program or service. If you do not select a designation, your gift will go towards the greatest need at PAMF.
Adolescent Behavioral Health Fund %
David Druker Center for Health Systems Innovation %
Interventional Pulmonology Program %
New Cancer Care Center (301 Old San Francisco Road, Sunnyvale) %
Santa Cruz Palliative Care %
Santa Cruz Community Health Outreach and Cancer Navigation %
PAMF Community Benefit %
Health Education %
PAMF Fund for Excellence %
Research Institute %
Sutter Maternity & Surgery Center %
Sutter Maternity & Surgery Center Lactation Center %

Donor Information
First Name:*
Last Name:*
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Planned Giving: Yes, please contact me to discuss giving opportunities through my will or trust.
Anonymous: Please do not list my name in the PAMF annual report as a contributor.
Do not email
Do not direct mail
This gift is made: in honor of
in memory of
as a Guardian Angel tribute to
Name of individual(s) being honored:
Please send notification of my gift to:
At this address (street, city, state, ZIP):
PAMF Location/Department (if applicable):
Additional comments or questions:

Payment Information
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Credit Card Type:*
Credit Card Expiration:*
Billing Information
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If not please fill out the information below:
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your credit card will be processed