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Saint Raphael Foundation
1450 Chapel Street
New Haven, Connecticut 06511
(203) 789-3242
Sponsored by the Sisters of Charity of Saint Elizabeth

Make a donation: Give today

There are many reasons and many ways to give to Saint Raphael's. All donations are appreciated and put to good use, as designated by each individual donor. Please take a moment to fill out this donation form.

Whether you choose to give online via our new, high-security donation system, or by printing it out and mailing it to our staff, we'll mail you a receipt and confirmation of your gift within ten working days. Thank you for your generosity.

* Indicates mandatory field. Your contribution may not be submitted electronically without this information.

*I am making a gift of (select one):




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To be used:
Where needed the most
Saint Raphael Foundation
Hospital of Saint Raphael
Father Michael J. McGivney Center for Cancer Care
Sister Anne Virginie Grimes Health Center
Other

This is a personal company gift

*First Name:	*Last Name:
Company:
*Address:
*City:	*State:	*Zipcode:
*Home phone:	Company phone:
*Email address:

If this is "A Gift of Caring" please complete the following:
In Memory of...
First Name:	Last Name:
Address:
City:	State:	Zipcode:

In Honor of...
(i.e. birthday, anniversary, special wishes, etc.)
First Name:	Last Name:
Address:
City:	State:	Zipcode:

The Foundation accepts Visa MasterCard, American Express and Discover with a minimum contribution of $25. Please complete the section above and click "Submit online" to access credit card information.
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Or: Please make your check payable to Saint Raphael Foundation and return to:
Saint Raphael Foundation
1450 Chapel Street
New Haven, CT 06511
Phone: (203) 789-3242
Fax: (203) 789-3328
caringbygiving@srfinc.org