Gift In Kind Donations at St. Mary's Medical Center

By Bradley Burck

November 6, 2020

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If you as an individual or your organization would like to make a Gift in Kind Donation to St. Mary’s Medical Center, first off, THANK YOU! An in kind donation could be a donation of your time, a service you offer, specific items, etc. Our staff, patients and their families appreciate you and your generosity. Please provide us with some additional information regarding your gift below and a representative from our staff will be in contact to arrange a delivery.

Name of the Person Filling Out This Form*
Prefix First Last
Name of the Donor (To Be Receipted)
If same as above, you can leave blank.
Prefix First Last
Name of the Company to be Receipted (If Applicable)
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email*
Description/Quantity of Items to be Donated*
Estimated Fair Market Value of the Donation*
Please give your best guess at the value of what you are donating.
Estimated Hours spent on donation*
Include your travel time to the Hospital or buying supplies. If you made the item, please include the number of hours you spent on your donation. You may enter 0 here if this section does not apply to your gift.
Delivery availability/ preferences

Gift In Kind Donations

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