South Nassau Communities Hospital

Gift Giving

Online Donation

Yes! I would like to make a donation to South Nassau Communities Hospital.


Please allocate my gift to:  
If "Other", please specify your preference: 

 Contact Information
* First Name:
* Last Name:
* Address:
  Address 2:
* City:
* State:
* Zip Code:
* Email address:
* Phone:
 Card Information
* Card Type: * Name on Card:
* Card Number:
* Expiration Date:
 Honor/Memorial Gifts
Would you like to make this contribution in honor or in memory of someone? We will send a letter to inform the person you are honoring (gift amount will not be included).

If the gift is being made in memoriam, a letter may be sent to a friend or family member.
I would like to make this contribution:
Please inform the following person of the gift:
Name: Street Address:
City: State:
Zip Code:  
 Special Occasion

Is this donation made in celebration of a special occasion,
such as a birthday? Yes  No

Please specify the occasion:
Other Comments:  
 Planned Giving
 Please send me information about Planned Giving

Compliance and Privacy Policies for Vendors and Patients
• © 2009 South Nassau Communities Hospital • One Healthy Way • Oceanside, NY 11572
• 1-877-SouthNassau (877-768-8462)

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