Phoenix Children's Hospital Donation Form - Phoenix Children's Foundation

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Emerging Leaders

Thank you for your interest in the Emerging Leaders Program at Phoenix Children's Hospital. Gifts to Emerging Leaders are eligible for the Arizona Charitable Tax Credit. Individuals giving up to $400 or couples giving up to $800 can recieve a dollar-for-dollar tax credit when filing next year!

Please use the secure form below to make your donation.

Gift Information

Field Is Required Select Gift Amount:

$100

$250

$400

800

$1,000

Other (minimum $100)

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Gift type:

One-time gift

Monthly gift

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Notes about your gift (optional):

Referred By:

Is this gift in honor or memory of someone? Yes, this is an honor or memorial gift

Honor Gift Type:

Honoree Name:

Please send a notification of this gift to (gift amounts will not be included):

Notification Recipient Street 1:

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Notification Recipient City:

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Donor Information

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Organization:

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Credit Card Information

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By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.

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