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Gift Information Select a program or area The John Muir Health Fund Jean and Ken Hofmann Cancer Center Behavioral Health Center Cardiovascular Services Celebrate John Muir Health! Gala Children's Services Community Health Improvement Diabetes Services Emergency Services Family Medicine Residency Program Neurosciences Nursing Education Orthopedic Services Physical Rehabilitation Services Spiritual Support Trauma Services I wish to support the following program or area None Select $ 1000.00 $ 500.00 $ 250.00 $ 100.00 $ 50.00 $ 25.00 Other Donation Amount Other Amount ($) None One-time gift Recurring (Same amount each time) Type of Gift Monthly Quarterly Frequency Day 1st of month Day 15th of month Starting Day Or make a gift using your Donor-Advised Fund Honor/Memorial Giving (Optional) Yes No In Honor Of In Memory Of Name I want to make this gift in honor or memory of the person above Message I wish to notify people of this donation Yes No Please send card to: Name Address City State Select a state Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Email This gift is from I wish for my gift to remain anonymous Yes No Your Information Title First Name Last Name Suffix None Sr. Jr. II III IV V Recognition Name Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming ZIP Code Phone Email What prompted you to make this donation? Select a reason Letter Email Social Media Event Other (please specify) Matching Funds (Optional) Many employers have matching gift programs for employees and retirees through which your generosity to John Muir Health Foundation can be multiplied. As a non-profit organization, we are eligible for many matching gift programs from corporations, foundations, and other organizations. Please check with your employer to see if John Muir Health is eligible for a matching gift from your company. Yes No Not Sure Company This site is protected by reCAPTCHA. The Google Privacy Policy and Terms of Service apply. Continue to payment