DOUBLE YOUR GIFT
You or your spouse may be employed by a company that has a matching gift program. Please check with your Human Resources Office for the appropriate form. Return form and payment to:

Huntington Hospital
Attn: Office of Development and Community Relations
270 Park Avenue
Huntington, NY 11743-2799
(631) 351-7040

Please fill out the attached form and return it with credit card information or check made payable to Huntington Hospital.

When your gift is received, an acknowledgement will be sent to the person(s) or family named. The name of the person(s) honored will appear on your letter. The amount of the gift will not be made known. You may designate your gift to a specific patient care area, such as:

	Cardiac Center***
	Don Monti Cancer Center Indigent Patient Care Endowment Fund**
	Don Monti Cancer Center* (Oncology Unit)
	Intensive Care Unit
	Pediatrics ***
	Women's Health Center
	Other ___________________________

* All memorial gifts to the Don Monti Cancer Center having a cumulative total of $250 or more will be recognized on the tribute wall, located outside of the unit.

** Gifts of $150 or more to the Dolan Family Health Center Endowment Fund will be recognized with an engraved brick ($150) or building block ($500), permanently affixed to the Dolan Family Health Center.

***Gifts of $1,000 or more to the Cardiology or Pediatric Units will be recognized on the tribute wall located outside of these units.

Click here to print out gift form