VNS Health Donation Form

Loading....

If you prefer to send a donation by mail, you may click here for a printable donation form and send to:

Organization Name

PO Box 6445

New York, NY 10249

Donation Information

I want to make a long-term difference with a recurring gift.

Recurring Frequency

Once a month Once every 3 months Once a year

$50
$100
$150
$750
$1,000
$

Donation will repeat monthly.

$10
$25
$50
$75
$100
$

Donation will repeat quarterly.

$100
$75
$50
$25
$10
$

Donation will repeat yearly.

$100
$75
$50
$25
$10
$

Donor Information

First Name*

Last Name*

Address*

City*

State*

Zip Code (must match credit card zip code)*

Country*

Email Address*

Payment Type:

Credit Card

eCheck

PayPal

Bank Account*

Name on Account*

Bank Routing Number*

Bank Account Number*

Card Number*

Security Code*

Expiration Month*

Expiration Year*

Name on Card*

Will you consider increasing your donation to cover fees for processing?

Phone

Are you a VNS Health team member?

Yes No

Designate Your Gift

Designate your gift to wherever it is needed most, to hospice, or to another fund*

Tribute Information (Optional)

This gift is in memory/honor of___:

VNS Health will notify the following person(s) about your donation:

Email or address of person(s) to notify:

Yes, I would like to receive information from VNS Health.

Donate Now

Through charitable gift planning you can help the next generation of New Yorkers in need of Organization Name's services and, depending how your gift is structured, you may ensure lifelong income, generate estate tax advantages, and provide tax benefits for you and your family. To learn more, call Org Phone or email Org Email.

Organization Name is registered as a 501(c)(3) non-profit organization. Contributions to Organization Name are eligible for maximum income and estate tax charitable deductions available for gifts to a public charity. Upon request, a copy of Organization Name’s New York charitable disclosures can be obtained by contacting the organization by phone at Org Phone, by email at Org Email, by writing Organization Name at Org Address Line 1, Org City, Org State Org Zip, by writing to New York State Attorney General’s Charities Bureau, 120 Broadway, New York, New York 10271. Financial reports may also be viewed on the New York State Attorney General's website at https://www.charitiesnys.com.

Click here to read Organization Name’s State Required Charitable Disclosures.

View our website privacy policy.

Thank you for your generosity!

Your generous donation has been received. Your support helps patients across all generations and in all neighborhoods of our city, regardless of their ability to pay. Thank you for your compassion!

An email has been sent to you with your receipt. If you did not receive a receipt, please check your spam folder or contact us at Org Phone or Org Email to request a paper receipt to be mailed to you.

To do even more today, please share why you are supporting Organization Name's work and our mission on Facebook, Instagram, or any other social media you use to communicate with friends and loved ones.

Facebook

Twitter

Instagram

YouTube