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Donation Amount*

$500
$250
$100
$50
$25
other

I would like to donate*

Recurrence*

One time
Monthly

Please note if you are participating in our recurring gift program, payments will be transferred automatically and will appear each month on your checking account or credit card statement. At any time, you may increase, decrease or cancel your monthly donation by calling Jaime Ronco at (914) 294-6193.

Does your employer offer gift matching?

Yes

Please note our Tax ID numbers: Elizabeth Seton Children’s Foundation (Tax ID 80-0879753), Elizabeth Seton Children’s Center (Tax ID 13-3398657), Elizabeth Seton Children’s School (Tax ID 20-1946996) and Elizabeth Seton Children’s Rehabilitation Center (Tax ID 27-1837787).

Employer Name*

Employer Contact Email*

Dedicate my donation in honor or in memory of someone special

Dedicated in the name of

Add a Special Message

Please notify the following person of my gift

Yes

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Donor Information

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First Last

Donor Email*

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Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Notes and Special Instructions

Total

$0.00

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