In Honor Of Donation
Serving Rockland, Orange and Northern Bergen Counties

General Donation
Restricted Donation
Foundation Member Enrollment
In Honor Of/Memory Of
Baby Bunch
Telemarketing Pledge

For over 100 years, Good Samaritan Hospital has relied on the philanthropic support of the community we serve. Our mission is to bring compassion to healthcare and to bring good help to those in need, especially the poor and the dying.

When you make an Honor or Memorial Donation to Good Samaritan Hospital Foundation, the person or family you designate below will be sent a card acknowledging your gift. The amount of your gift is shown only on your receipt.

Thank you for being so thoughtful. Your gift to the Good Samaritan Hospital Foundation is truly appreciated.

* marks a required field

 

 

Donation Amount:

$ *

In Honor/Memory of:

 *

Donation Type:

In Honor Of
In Memory Of

 

 

Good Samaritan Hospital Foundation will send an acknowledgment card to:

Name:

 *

Address:

 *

City, State Zip:

 *

Telephone:

 

 

This gift is from:

 

 

 





 

© Copyright 2006, Bon Secours Charity Health System, Inc.

Good Samaritan Hospital
255 Lafayette Ave., Suffern, NY 10901
(845) 368-5000