Phoenix Children's Foundation

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Taking place this year from July 8 - July 31 the We Got Heart Employee Giving Campaign aims to foster a culture of philanthropy among Phoenix Children's employees and generate financial support to philanthropic activities.

Please complete the following form to make a secure online donation, with your credit card, to Phoenix Children's Hospital -OR- if you prefer to give via payroll deduction, visit our payroll deduction form.

Field Is Required Select Gift Amount:

$50

$130

$400

$800

Other:

Enter amount

Yes, automatically repeat this gift every month until I tell PCHF to stop.

Show Gift Publicly Please leave unchecked - your gift amount will not be publicly displayed

We Got Heart Gift Designations

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This radio option selects the field value from the following text input field.

For gift of $130 or more, please provide your t-shirt size.

What is the Department or Area

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This radio option selects the field value from the following text input field.

T-Shirt size (all sizes are unisex)

Donor Information

Title:

First Name:

Middle Name:

Last Name:

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Organization:

Address 1:

Address 2:

City:

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ZIP Code:

Country:

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Email Address:

Yes, I would like to receive periodic email updates from Phoenix Children's Hospital.

Credit Card Information

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Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

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