Thank you for your recurring donation to UK St. Claire!
All contributions made on behalf of UK St. Claire are received through the SND Eastern Kentucky Foundation.
Full Name
*
First Name
Last Name
Cell Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Are you a UK St. Claire staff member?
*
Yes
No
UKSC Staff ID#:
*
Email
*
example@example.com
How often would you like to make your recurring gift? (All recurring gifts will be charged on the 15th and indefinite unless specified)
*
Monthly
Quarterly
Annually
Other
If other, please specify:
Please direct my gift to the following:
*
Please Select
SND Eastern Kentucky Foundation Priority Funding
Alzheimer's Caregiver Support
Basic and Emergency Needs
Bausch Family Scholarship
Bertha Ross Hough Endowment
Camp Smile Fund
Cancer Care and Oncology Fund
C. Louise Caudill Memorial in Honor of Susie Halbleib
Claire Louise Caudill Mission Support Fund
Ellie Reser Endowment
Family Medicine Fund
Greatest Needs Fund
George M. "Mac" Luckey Oncology Research Fund
Henry Humkey Endowment for Primary Care
Hospice and Home Health Fund
Inpatient Rehabilitation Unit Fund
Makhija Scholarship Endowment
Markwell Endowment for Oncology
Menifee County Educational Fund
Pastoral Care
Patient Experience
Richard Carpenter Scholarship
Roger Russell Education Fund
Ruth Maxine Browning Pediatric Services Fund
SCH Dependent Support Fund
SR Mary Jeanette Wess, SND, Scholarship
St. Claire Auxiliary Scholarship Fund
Teddy Bear Fund
Volunteer Program
Other
Split My Gift
Please indicate which SND Eastern Kentucky Foundation priority you would like to support:
*
Please Select
Health & Wellness
Education & Career Development
Quality of Life
If other, please specify.
*
Please divide my gift between the following funds (provide dollar amount):
*
Is this gift in honor or in memory of someone?
*
Yes
No
Per the previous question, please select one of the following:
Honorary Gift
Memorial Gift
In honor of (name, occasion):
*
In memory of (name):
*
Would you like us to send an acknowledgement of this donation to the individual or a family mamber of the recognized individual? (The amount will not be disclosed.)
*
Yes
No
To whom should we send the acknowledgment?
*
First Name
Last Name
Relationship to honoree (if applicable):
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Recurring Donation:
*
prev
next
( X )
Monthly Recurring Gift
USD
for each
month
Quarterly Recurring Gift
USD
for each
three months
Annually Recurring Gift
USD
for each
year
Credit Card
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Would you like to add an end-date for your recurring donation?
Yes
No
If yes, what date would you like your recurring gift to end?
-
Month
-
Day
Year
Date
Submit
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