Friends Of Frazier

 
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Your Friendship Counts!


Frazier Rehab Institute offers unparalleled hope and healing for those who have suffered disabling accidents or illnesses.

Now you can show your support by making a charitable contribution to Friends of Frazier to ensure we continue to make a difference in the lives of people coping with the profound changes caused by illnesses and injuries that are physically catastrophic.

Giving online to Friends of Frazier is safe and secure. Just follow the easy steps below. Once you have completed your donation, a confirmation email will be sent to you. Your Friends of Frazier gift item will be sent to you separately via UPS.

To donate by phone, customize your order, or make multiple gifts, call (502) 587-4543.

Thank you for your support!

Please choose a gift amount and then select your gift under that amount:


$25

T-Shirt.   Select size:
No Gift


$35


Choose Your Gift Option:
Umbrella
T-Shirt   Select size:
No Gift


$50 or more
  $(enter amount)


Choose Your Gift Option:
Sweatshirt   Select size:
Umbrella
T-Shirt   Select size:
No Gift


"Green" membership of $5 or more per month
  $(enter amount greater than or equal to $5)
To become a Green Member, you can make a monthly donation through an automatic debit to your bank account or Credit Card. It's easy, paperless, and green. You have the flexibility to continue your gift until notifying us otherwise and may change your contribution at any time. To make this donation to sustain the future of Frazier Rehab Institute, just print off and return this form.

I/we hereby authorize Friends of Frazier to initiate debit entries to support Frazier Rehab Institute to my/our account indicated below and the financial institution named below, hereinafter called FINANCIAL INSTITUTION, to credit the same to such account. I/we acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of the U.S. law. This authority is to remain in full force and effect until Friends of Frazier has received written notification from me (or either of us) of its termination in such time and manner as to afford both Friends of Frazier/Jewish Hospital & St. Mary’s Foundation and my FINANCIAL INSTITUTION a reasonable opportunity to act on it.

Choose Your Gift Option:
Sweatshirt   Select size:
Umbrella
T-Shirt   Select one:
No Gift


Charge my credit card:

* Name on Credit Card:
* Type:
* Credit Card Number:
* Expiration Date(Month/Year): /
* Security Code:

This gift was made by:

* Name:
* Address:
* City, State, ZIP:
   
*CITY   *STATE   *ZIP
* Home Phone:  ex. 5025554444
  Work Phone:  ex. 5025554444
* E-mail Address:


© 2010 Friends of Frazier