Help Support Our Mission

Help Support Our Mission

Your generosity is important to our mission of pursuing healthier lives for the people of the Sauk Valley.  Eleven health initiatives are funded through your support. Each gift helps change lives and save lives.


Your Personal Information:
Name:
(As you would like it to appear on the recognition Wall of Honor and correspondence)
Company:
Address:
City:
State:
Zip:
Email:
Phone:

I would like to make a tax deductible gift of:
$25
$50
$100
$250
$500
$1000
Other $

Many companies offer MATCHING GIFT programs and will double or triple your gift to qualified non-profit organizations like CGH Medical Center/CGH Health Foundation. Please contact your company’s Human Resource department for details on making a matching gift.

Gift:
Name of honoree:

OPTIONAL:
Person to notify of this gift:
First Name:
Last Name:
Relationship to person:
Address:
City:
State:
Zip:
Any additional information:

Allocation of Gift:
Other:

I prefer to remain anonymous.
I am interested in information on including CGH in my will.
Please sign me up to receive the newsletter.
Please send information on how to support CGH.
I am interested in volunteering.

E-Commerce Solutions
Name as it appears on your credit card.
First Name: Last Name:
Card Number: Expiration Date: CCV:


Donations to the CGH Health Foundation are final. We honor donor intent and adhere to the highest ethical standards.


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© 2016 CGH Medical Center. All Rights Reserved.