Kaleida Health Foundation Giving Form

The Kaleida Health Foundation
1260 Delaware Avenue
Buffalo, NY 14209
(716) 881-8260

Your generous support helps the Kaleida Health Foundation and Kaleida Health offer their wide-ranging programs and services. Thank you.

Name: Mr. Mrs. Ms. Address City	Phone: ( ) - Email
	State	Zip Code

I would like to make a gift of:
$1,000 $500 $250 $100 Other $

I would like to make a monthly donation of $

Please charge my:
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My gift is for:
Where need is greatest
Buffalo General Hospital
DeGraff Memorial Hospital
Millard Fillmore Gates Circle Hospital
Millard Fillmore Suburban Hospital
Visiting Nursing Association of Western New York
Women & Children's Hospital of Buffalo Foundation

Please list this gift from

This gift is anonymous. Please do not list my name in publications.

I have remembered my favorite Kaleida Health hospital or program in my will or estate.

I would like to know how to remember my favorite Kaleida Health hospital or program in my will or estate plans.

I would like to learn about a gift that pays income to me.

This gift is in memory of: in honor of:

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