Honor a Caregiver
Honor an exceptionally compassionate caregiver with a donation to the Schwartz Center. We'll add your caregiver's name to our Compassionate Caregiver honor roll, and for a gift of $100 or more, we will also send a Compassionate Caregiver Certificate on your behalf. Caregivers are nourished and re-energized when they know their work is valued!
Your donation in honor of a caregiver goes directly to our programming and is tax deductable to the extent
allowed by law.
Donation Information
If your gift is $100 or more, the Schwartz Center will send a Compassionate Caregiver Certificate.
Amount: / □ / $50.00□ / $100.00
□ / $250.00
□ / $500.00
□ / $1,000.00
□ / $5,000.00
□ other $ ______
Designation (please check one):
Where it is needed most
Schwartz Center Rounds
Medical Director
Additional Information
Corporate:□This donation is on behalf of a company or organization:
______
Anonymous:□I prefer to make this donation anonymously
Name as you would like it in our donor report: ______
How did you hear about the Schwartz Center? Website
Event
Attended Schwartz Center Rounds
Blog
A friend
Billing Information
Title: ______First Name: ______Last Name: ______
Address: ______
City: ______State:______ZIP:______Country:______
Phone:______
Email:______
Cardholder’s Name: ______
Card Type (check one): □ American Express □Mastercard□ Visa
Credit Card Number: ______Card Expiration: ______
Caregiver Information
□ Please send Compassionate Caregiver Certificate (if checked please complete section below) Name:______Organizaton:______Address:______City: ______State: ______Zip: ______Country: ______
Matching Gifts
My company will match my gift
Company: ______
If your company matches gifts, please complete the required form from your HR Department and mail it along with your donation to:
The Schwartz Center for Compassionate Healthcare
PO Box 417597
Boston, MA02241-7597
Or if you would like to Fax your form:617-643-6123
If you have any questions about giving, please call us at617-643-4067, or email .