Make a Donation

Giving to Middlesex Hospital is easy. You can use our online giving form below, call our office to charge your gift, or mail in our printable donation form.

We strongly believe in protecting your privacy. Your information is safe, secure and confidential. We do not share your information with other companies or organizations.

Personal Information

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Your Gift to Middlesex Hospital

I wish to designate my gift to one or more of the following:

Example:

Bardenheier Medical Training Center

Emergency Services

Cancer Center Programs and Services

Community Medicine/Disease Management

Shoreline Medical Center

Marlborough Medical Center

Hospice and Palliative Care

Area of Greatest Need

Other (please specify)

Total:

Enter any additional information on other designation

Memorial/Tribute Information

In honor of

In memory of

Not Applicable

Please mail an acknowledgement letter to: Full Name Address City State Zip/Postal Code

Credit Card Information

Donation Amount $0.00

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Expiration Date January February March April May June July August September October November December 2008 2009 2010 2011 2012 2013

Increase Your Gift by Having Your Gift Matched

You can double or futher multiply the impact of your gift if you are an employee, retiree or director of a corporation that matches gifts to Middlesex Hospital.

Please help determine if my employer will match my gift.

My employer's name and contact information is:

Additional Comments and Questions

About SSL Certificates

Refund Policy

Like any tax-deductible charitable contribution, any on-line contribution made to Middlesex Hospital cannot be cancelled or returned once it has been completed.

Time of Delivery

Please be aware that credit card donations may take up to 72 hours to be completely processed.

For Your Information

Your credit card statement will read:
Middlesex Hospital, Office of Phil

Tax Deduction Information

In the next few days you'll receive written confirmation from the Office of Philanthropy. Please retain this letter for your tax purposes.