Your Gift to the CHaD Annual Fund

 

Donation Information
Amount:	Gift of $ 250.00 Gift of $ 100.00 Gift of $ 50.00 Gift of $ 35.00 Other $     *
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Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
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Billing Information
Title:	Dr. Dr. and Mr. Dr. and Mrs. Drs. Miss Mr. Mr. and Mrs. Mrs. Ms. I prefer no title	*
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Payment Information
Fundraising on behalf of the Children’s Hospital at Dartmouth (CHaD) is conducted by Dartmouth-Hitchcock Health, a 501(c)(3) recognized charity by the IRS (EIN#26-4812335), for the benefit of CHaD. Your gift will appear on your credit card statement as a payment to "D-HHealth Donation".
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Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031	*
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For questions, please contact:
Julie Bressor
Director
Annual Giving & Alumni Relations
(603) 653-0742