Spring Appeal Donation Page - Hospice of Southern Maine

Your support makes all the difference. Thank you.

Donation Information

Amount:

Circle of Caring

$ 1,000.00

$ 500.00

$ 250.00

$ 100.00

$ 65.00

$ 50.00

Other

$

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Designation:

Additional Information

Type of gift:

This is a one-time gift.
This is a recurring gift. Make a monthly gift of $84 to join our Circle of Caring!

Frequency:

On:
Starting: Ending:

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

List me in the Annual Report as:

Tax Receipt Preference:

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Billing Information

Title:

First name:

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Last name:

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Country:

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Address lines:

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City:

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ZIP:

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Phone:

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Email:

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Confirm Email:

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Payment Information

Cardholder's Name:

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Credit Card Number:

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Card Type:

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Card Expiration:

/

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Card Security Code:

help

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Matching Gifts

My company will match my gift

Company:

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Tribute Information

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Name:

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First name:

Last name:

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Mail a letter on my behalf

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