Give to the Health Sciences Center

Make your place in Sinclair history or honor a friend or loved one with an inscribed plaque on the Donor Wall in the Ned J. Sifferlen Health Sciences Center. When you donate, you will receive a 12" x 12" wall plaque with up to six lines of text with the inscription of your choosing.

Health Sciences Center- Gifts of $5,000 - $9,999

Amount:

$ 5,000.00

Other

Additional Information

Corporate:

This donation is on behalf of a company

Anonymous:

I prefer to make this donation anonymously

Comments:

Text Line 1 (40 char max w/spaces & punctuation):

Text Line 2 (40 char max w/spaces & punctuation):

Text Line 3 (40 char max w/spaces & punctuation):

Text Line 4 (40 char max w/spaces & punctuation):

Text Line 5 (40 char max w/spaces & punctuation):

Text Line 6 (40 char max w/spaces & punctuation):

Billing Information

Title:

First name:

Last name:

Country:

Address lines:

City:

State:

ZIP:

Phone:

Email:

Payment Information

Cardholder's Name:

Credit Card Number:

Card Type:

Card Expiration:

Card Security Code:

Matching Gifts

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