St. Joseph's Center Secure Online Donation Form




    


Caring Tree of Life



$1,000 donation for one golden leaf


Many individuals choose St. Joseph’s Center to make a tribute gift.
These contributions are usually made in memory of a family member or friend, in honor of an individual, or in recognition of a special event.

The Center’s Caring Tree of Life is located in the lobby of St. Joseph’s Weinberg Therapy Building.
Cast of solid bronze on an acrylic background with gold leaves,
the Tree offers donors the opportunity to publicly recognize a person.
Up to five lines can be engraved on each leaf, depending on the total number of letters.

Secure Online Donation Form

Please note that fields with an asterisk (*) are required.
For your security, this form will not work if you use the AutoFill feature in your browser.


                                             I would like to make my gift with a one-time (1) payment.
 I would like to make my gift in two (2) semi-annual payments.
 I would like to make my gift in four (4) quarterly payments.
 I would like to make my gift in ten (10) monthly payments.

Up to five lines can be engraved on each leaf, depending on the total number of letters.


*First Name:  *Last Name: 
*Address 1:  Address 2: 
*City:  *State: 
*Zip Code:  *E-mail: 
*Daytime Phone #:  Evening Phone #: 



*Credit Card Type: 
*Credit Card #: 
*Exp. Date:  /


Please choose the appropriate button, ONLY if this gift is being made:
 in honor   in memory   as a "Thinking of You" gift   to note a Special Day   N/A 
Please select a Special Day, if appropriate: Other Special Day 

Please provide Full Name of person being honored/remembered:
Please provide Name, and Address to whom we should send notification of your gift:
(No commas, please.)

Is your employer a matching gift corporation?  Yes   No 
Employer information: (No commas, please.)

 Yes, please tell me how I can further assist St. Joseph's Center through my estate plan/will. 

Special Requests:

After ensuring that all of the information above is correct,
please click the Submit Form Now button ONLY ONCE.
Multiple clicks of the Submit button will result in duplicate charges to your account.
An e-mail confirmation will be sent to the e-mail address you provided.


About SSL Certificates



  
St. Joseph's Center
2010 Adams Avenue • Scranton, Pennsylvania 18509 • Phone: 570-342-8379 • Fax: 570-342-6080
Send us an e-mailwww.stjosephscenter.org


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