You may make a gift by filling out the online form below or
Download the Membership/Donation form
(right click and save to desktop)
fax it to
360-299-4222
or mail it to
Island Hospital Foundation at 1211 24th Street, Anacortes, WA 98221
. You may also stop by our office or call
360-299-4201
and will gladly assist you by credit or debit card over the phone.
Cardholder Information
*
Cardholder First Name
*
Cardholder Last Name
Cardholder Phone Number
Email (your receipt will be emailed)
*
Cardholder Billing Address
*
Cardholder Billing Zip
Other Information
Your Name (as you would like it to appear for recognition, leave blank if none)
In Honor of: (leave blank if none)
In Memory of: (leave blank if none)
Guardian Angel Name and Message: (leave blank if none)
Designate Your Gift:
(more info)
Greatest Need
Island Prenatal Care Center
Island Health Resource Center
Cancer Care Center
Anacortes Teen Clinic
Island Hospital Foundation Endowment for the Greatest Need
Home Health Department
Community Health Screening Program
Justus & Jayne Schlichting Endowment for Community Health Care
Celebration of Trees
(more info)
Gala of Hope
(more info)
Other (please list)
Tickets
($50 each)
Tickets
($125 each)
Sponsorship
($500-2,000)
Sponsorship
($750 - $10,000)
Raise-the-Paddle
($50 - $1,000)
Heartstrings
($100 - $5,000)
Underwritting
(Any amount)
Underwritting
(Any amount)
Billing Information
*
Card Number
*
Card Exp Date
*
CVV2
Amount
$
Please contact me about planned giving opportunities
Please sign me up for the newsletter
*
Required Fields