Anna Jaques Hospital - Anna Jaques Hospital

Keep Our Community Healthy
Give a Recurring Gift

Donate Now By making a monthly commitment to Anna Jaques, you are creating a sustainable impact that will help keep our community healthy. AJH’s monthly giving program is simple, easy to setup, and makes a real difference for our patients:

It’s affordable: Your gift is spread out over time, with only a modest impact on your budget
It’s efficient: Your gift is put to work immediately.
It’s convenient: Your gift is setup to automatically deduct each month through your credit card.

Thank you!

* All fields are required unless indicated as optional.

Gift Amount

Field Is Required Gift Amount

$10.00

$10

$25.00

$25

$50.00

$50

$100.00

$100

Enter amount

Gift type:

One-time donation

Monthly donation

Select a Gift Duration:

Gift Information

Field Is Required Gift Designation:

Where it's needed most

Select gift designation

Other

I would like to make this donation anonymously (optional)

I am making this gift in honor or memory of a person important to me (optional)

Honor Gift Type:

Honoree First Name:

Honoree Last Name:

Notification Recipient Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Message Body:

My employer will match this gift (optional)

Find Your Employer

Your Information

Credit:

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Contact:

Title

First Name

Last Name

Phone

Street Address

City

State/Province

ZIP

Country

Questions about giving? Contact us: AJH-Philanthropy@bilh.org

Your privacy is important to us. If you no longer wish to receive fundraising communications from Anna Jaques Hospital, please uncheck the box below, email us: AJH-Philanthropy@bilh.org

Yes, I would like to receive email from Anna Jaques Hospital