On-line Donations

If you'd like to make a gift to Sebasticook Valley Health,
It's as easy as 1,2,3

STEP 1: Tell us about your gift (Donations will show as "Healthcare Charities" on your credit card statement)

Total Gift Amount:

Gift Type:

One Time Gift

Pledge

If pledging your gift, please indicate how often to process installments and the date of the first installment.

Per Month

Per Quarter

Per Year

Date of first installment: *Required Field

Card Type:

Card Number:

Expiration Date (mm/yyyy):

Your name as it appears on the card:

STEP 2: Tell us who you are (This will help us thank you)

This is my/our:

Personal Gift

Business Gift

(Please add corresponding business or personal information below)

Business/Organization
(If Applicable):

Name/Contact:

Mailing Address:

City:

State:

Zip:

E-Mail:

Work Phone:

Home Phone:

STEP 3: Tell us where to direct your gift

SVH Inpatient Expansion Project

Pathway to Health Paver Project

Where Needed Most

Please use section below if you wish to make your gift in memory of or in honor of an individual.

This gift is:

In Honor Of

In Memory Of

In Honor Of Physician, Nurse, or other Caregiver

Name of Individual

Please provide name and address of the person we should notify: (We will not include gift amount):

Name:
Mailing Address:
City:
State:
Zip:

Please check here if you would like to make this gift anonymously.

Additional Comments or Questions:

For more information on our development programs and services please contact:

Sebasticook Valley Health
447 North Main Street
Pittsfield, ME 04967
(207) 487-6447