Gift Information

2023 Donation Form

Please complete by November 3, 2023 to be included in the printed program.
Donations may be made at anytime.

Multiple reservations for the same item must be made as separate transactions.

(Example, reserving two 8" candles need to be entered and paid for separately. However, you can reserve one 8" candle, one 6" candle, and individual lights in one transaction.)

Step 1: Enter Gift Information

Gift Information

Contact Information

Confirmation

Payment

Sponsorship Opportunities

All sponsors receive the following core recognition incentives:

• Social media recognition on the Madison Health Foundation’s Facebook page
• Printed recognition in the Madison Messenger and in the Foundation Newsletter, Giving Matters
• Electronic recognition on the Madison Health donor screen located in the hospital main lobby

Additional sponsorship recognition incentives:

Community $5,000
• Prominent recognition on banners located on the front lawn of Madison Health*

Double Diamond $2,000
• Prominent recognition on banners located on the front lawn of Madison Health*

Diamond $1,000
• Prominent recognition on banners located on the front lawn of Madison Health*

*Sponsorship commitment must be made by November 4, 2022 to appear on banners.

Other Amount

Name as it should appear for sponsorship recognition:

Evergreen Trees

24 evergreen trees line the main entrance to Madison Health. All trees are lighted and will feature a post and a large, two-sided sign detailing the honorees and the gift donor. Honorees and gift donors will be listed in the printed program.

Amount

Honoree(s)

Given by: (First Name)

(Last Name)

Pillar Candle - 8"

Pillar candles are displayed in the front windows of the Madison Health lobby. Each 8" candle sign can honor up to 3 individuals. Honorees and gift donors will be listed in the printed program.

Amount

Honoree #1 (Full Name)

Honoree #2 (Full Name)

Honoree #3 (Full Name)

Given by: (First Name)

(Last Name)

Pillar Candle - 6"

Pillar candles are displayed in the front windows of the Madison Health lobby. Each 6" candle sign can honor up to 2 individuals. Honorees and gift donors will be listed in the printed program.

Amount

Honoree #1 (Full Name)

Honoree #2 (Full Name)

Given by: (First Name)

(Last Name)

Pillar Candle - 5"

Pillar candles are displayed in the front windows of the Madison Health lobby. Each 5" candle sign can honor 1 individual. Honorees and gift donors will be listed in the printed program.

Amount

Honoree #1 (Full Name)

Given by: (First Name)

(Last Name)

Individual Lights - 3 lights

A large, beautiful tree full of individual lights will decorate the main lobby of Madison Health. No signage is included for individual lights. Honorees and gift donors will be listed in the printed program.

Amount

Honoree(s)

Given by: (First Name)

(Last Name)

Individual Lights - 1 light

Amount

Honoree

Given by: (First Name)

(Last Name)

Privacy Policy
We take precautions to protect your information. We collect credit card or bank account information, names, addresses, and other data related to your transaction when you make a payment through our site. We use this information to process your payment.

Terms/Conditions
By submitting your payment, you authorize us to charge the account above for the amount specified in the Transaction Amount field. Account information for Recurring Pledges/Monthly Giving is encrypted and stored securely via SafeSave™ for automatic processing of your future payments. Notify us at anytime if you wish to discontinue your pledge.