Support Westchester Medical Center

Monthly Donation Form

Thank you for considering a recurring gift to Westchester Medical Center Foundation. A recurring gift is a simple, no-fuss and tax-deductible donation that that provide a consistent, reliable income stream of support in easier-to-digest monthly increments.

To set up a recurring gift, please fill out and submit this online form. Once you have completed your donation, you will receive an acknowledgment and tax receipt via e-mail. If you have questions about recurring giving, please call (914) 493-2575.

 

Donation Information
Amount:	$ 500.00 $ 250.00 $ 150.00 $ 75.00 $ 25.00 Other $     *
Additional Information (Optional)
Type of gift:	Recurring gift
Frequency:	Day 1 of every month Starting:      Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
Billing Information
Title:	Admiral Ambassador Assemblyman Assemblywoman Attorney Bishop Brother Cantor Captain Chief Colonel Commander Commissioner Congressman Congresswoman Councilman Councilwoman County Executive Deacon Dr. Father General Governor His Eminence Judge Legislator Lt. Lt. Col. Major Master Messrs. Miss Monsignor Mr. Mrs. Ms. Pastor Professor Rabbi Rev. Senator Sgt. Sister The Honorable The Reverend
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Payment Information
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Card Type:	Visa American Express Discover MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038	*
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Matching Gifts
	My company will match my gift
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Tribute Information (Optional)
Type:	In Honor of In Loving Memory of	*
Name:		*
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	Notifiy An Individual Of my Gift (Optional)	*