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:	Bishop Admiral Ambassador Assemblyman Assemblywoman Attorney BGeneral Brother Cantor Capt. Chairman Chief Cmdr. Col. Commissioner Congressman Congresswoman Councilman Councilwoman Director Dr. Father General Governor Judge Legislator Lt. Lt. Col. Major Master Miss Monsignor Mr. Mrs. Ms. President Professor Rabbi Rev. Senator Sgt. Sir Sister The Honorable The Reverend Trooper Trustee Councilman at Large County Executive Deacon His Eminence Messrs. Most Reverend Pastor Messers Sheriff
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Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032	*
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Matching Gifts
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Type:	In honor of In memory of	*
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