Your Donation Is So Appreciated - Lily Healthcare serving Wisconsin

If you would like to make a donation by credit card, please complete the form below and make your donation online today.

If you would like to make a donation by check, please select the "Donate by Check" button below:

Donate by Credit Card

Name: *

First

Last Name *

Last

Email

Company Name:

Is your donation made to honor an individual or family?

Yes

No

We would love to be able to send an acknowledgment card of your gift to the family of the individual or family you are honoring with your donation.

Name of person being honored/memorialized

Name of family/individual to be notified

Address of family/individual to be notified

City

State/Province

Zip/Postal

Is this a Corporate donation? *

Yes

No

Donation Frequency: *

One Time Donation

Monthly

Annually

Donation Amount: *

Note: Stripe adds a 2.9% + .30 fee for each credit card donation. You're also welcome to send us a check.

Would you like to help our Hospice patients that much more by paying the Stripe fee? :

Yes!

Not this time

Your Donation: *

Stripe Fees: *

Amount To Lily Hospice: *

Your Donation: *

Stripe Fees: *

Amount To Lily Hospice: *

Donation Comments:

Payment

Thank you for your generosity!