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Calvary Life XI - donation form
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Select Gift Frequency
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.
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NOTE: This transaction will count as the first payment toward your total gift amount.


Donor Information
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Is this gift in memory of someone?:
Honoree/Memorial First Name:
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Billing Information
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If not please fill out the information below:
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Please be aware that due to rising costs, acknowledgement letters and family notification can only be sent for gifts of $15 or more. The staff of the Fund is prepared to assist donors to structure a gift that supports the Hospital and meets the personal, financial and investment needs of the donor. If you would like assistance using this form, or wish to use an alternate method of making a donation, please contact:

Calvary Fund Phone: (718) 518-2077
E-mail: avalitutto@calvaryhospital.org
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