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Supporting Penn State Health
Your Donation
Donation Option
*
One-Time
Donation Amount
*
Donation Amount
*
$
/
Maximum Amount to Donate (Optional)
$
Total
Would you like to remain anonymous?
*
Yes
No
Can we share your name and message with your care team?
Yes
No
We like to highlight grateful patient stories in various ways. Can we share parts of your message, using your first name only, on our website, social media and other media channels?
Yes
No
What is the name of the care provider or team that you would like to honor?
I would like to provide a message for my care provider or team.
*
Yes
No
What is the message you would like us to share with your care provider or team?
How would you like to receive your tax receipt?
*
Email
Mail
Corporate Giving
Individual Gift
Gift on behalf of my company
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Gift Ratio:
Gift Match:
Min /
Max
Total Per Employee:
Contact:
Company Name
Payment
Payment Method
*
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Choose a different way to pay
Choose a different way to pay
Contact Details
Name
*
First Name
Last Name
Show my name as (Optional)
Email Address
*
Title
*
Dr.
Mr.
Mrs.
Ms.
Mx.
Donate with Credit Card
Donate {amount}
Donate with Bank Account
Venmo
description
Yes! I’d like to cover processing costs. (
per month
per year
per
)
Set a time limit on monthly donations?
*
No
Yes
Donate for
*
Months
Enter a duration between 2 and 99 months.