Good Samaritan Hospital Foundation
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Give online now with your credit card below or print out our donation form to mail or fax. Your credit card will be processed in a completely secure environment. Privacy Policy.

Your name and address are required to acknowledge your donation. If you have trouble filling out the form or would like to make a donation over the phone, please call us at 1-513-872-3742.

By donating one of the amounts below, you will automatically be given membership to the following:

    $10,000+The Chairman's Circle
    $5,000+The Trustee's Council
    $2,500+The Patron Society
    $1,000+The President's Club
    $500+The Samaritan Society
    $250+Good Samaritan Friend
    $100  Annual Gift Club
 
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Donations made with this form benefit Good Samaritan Hospital.


 


   
© 2008 Good Samaritan Hospital Foundation
375 Dixmyth Avenue, Cincinnati, Ohio 45220 | Phone (513) 872-3786
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