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Donation Information
 
             
Step 2
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Please provide the following information. Required fields are marked with an asterisk.

Make a donation to Beaumont Health System quickly and easily by completing the form below. If you'd prefer, you can also mail your donation to:

Beaumont Foundation
PO Box 5802
Troy, MI 48007-5802

Contact Information
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Note: If this gift is in response to a mailer you received, please type the mail code found in the shaded box located under your contact information on the reply device.

 
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Program Designation
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Select Gift Amount: Required
Select Gift Amount: Select Gift Amount: Required radio button group.
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Chairman's Circle ($1,000 - $19,999 annually)

The Chairman's Circle represents the legacy of supporters who contribute to new and important programs and services.

Benefits include a reception with an educational lecture on a health care topic, two valet parking passes per year, recognition in printed publications, subscription to Healthy Giving newsletter, updates on the program areas you care about most, and e-mail updates on special hospital programs.

     
Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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Chairman's Circle ($1,000 - $19,999 annually)

The Chairman's Circle represents the legacy of supporters who contribute to new and important programs and services.

Benefits include a reception with an educational lecture on a health care topic, two valet parking passes per year, recognition in printed publications, subscription to Healthy Giving newsletter, updates on the program areas you care about most, and e-mail updates on special hospital programs.

     
Select Gift Amount: Select Gift Amount: Required radio button group.
Required
Warning

Chairman's Circle ($1,000 - $19,999 annually)

The Chairman's Circle represents the legacy of supporters who contribute to new and important programs and services.

Benefits include a reception with an educational lecture on a health care topic, two valet parking passes per year, recognition in printed publications, subscription to Healthy Giving newsletter, updates on the program areas you care about most, and e-mail updates on special hospital programs.

     
Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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The President's Club ($100 - $999 annually)

Contributions from President's Club donors provide invaluable support for patient care, research and education benefiting you, your family and neighbors.

Benefits include recognition in printed publications, subscription to Healthy Giving newsletter, updates on the program areas you care about most, and e-mail updates on special hospital programs.

     
Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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The President's Club ($100 - $999 annually)

Contributions from President's Club donors provide invaluable support for patient care, research and education benefiting you, your family and neighbors.

Benefits include recognition in printed publications, subscription to Healthy Giving newsletter, updates on the program areas you care about most, and e-mail updates on special hospital programs.

     
Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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The President's Club ($100 - $999 annually)

Contributions from President's Club donors provide invaluable support for patient care, research and education benefiting you, your family and neighbors.

Benefits include recognition in printed publications, subscription to Healthy Giving newsletter, updates on the program areas you care about most, and e-mail updates on special hospital programs.

     
Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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Select Gift Amount: Select Gift Amount: Required radio button group.
Required
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Gift type:
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  Total Gift: Use the Calculate button to view the total amount of all gift payments for your donation.
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DonationPrograms  
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Other Program (if not listed above):
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Additional Information
 
Enter your additional information or instructions (255 characters max):
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Tribute Gift Information

A letter may be sent to let someone know you made this thoughtful tribute gift. (No mention of the amount of your gift will be made).

 
Check this option if this is an honor or memorial gift to display additional fields. Check this option if this is an honor or memorial gift to display additional fields. Required
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Payment Information
 
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For questions about giving, please call 248.551.5330 or send an e-mail to beaumont foundation@beaumont.edu.