Thank YOU!

Every donation helps fund New London Hospital’s commitment to excellence. Using this form, you can donate any amount you wish to New London Hospital.

Donation information

Amount:

Designation:

Additional information

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Mailing address if different than billing address:

Billing information

Title:

First name:

Last name:

Country:

Street address or P.O. box:

City:

State:

ZIP:

Phone:

Email:

Payment information

All donations are tax deductible to the fullest extent allowable by law. Fundraising is conducted by New London Hospital (EIN#02-0222171), a 501(c)3 charity recognized by the IRS. Your gift will appear on your credit card statement as a payment to “New London Hospital Assoc.”.

Cardholder’s name:

Credit card number:

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Memorial and honorary gifts

Is your gift in memory of or in honor of someone? If so, please complete this section.

Type:

Full name of honoree:

Mail a notification letter on my behalf

Matching Gifts: If your employer will match your gift, please submit the matching gift form to New London Hospital, 273 County Road, New London, New Hampshire 03257.

Recurring Monthly Gifts: If you would like to pledge a recurring monthly gift, please call Medical & Healthcare Advancement at (603) 526-5373 or email community.relations@newlondonhospital.org

Prefer to send a check?

Please mail check to:

New London Hospital
Attn: Community Relations and Development
273 County Road
New London, New Hampshire 03257

Make checks payable to New London Hospital

Need help?

Do you have a question or need help making your gift? Please call us at (603) 526-5373 or email us at community.relations@newlondonhospital.org. We’re happy to help!