Support Baylor Scott & White All Saints Health Foundation

Thanks to a commitment of $125,000 from the Deena Jo Heide Diesslin Foundation, donations made to
support the Baylor Scott & White All Saints Medical Center – Fort Worth will be matched dollar for dollar.

Thanks to a commitment from an Anonymous Fund at the Community Foundation of North Texas,

donations made to support the Graduate Medical Education program
at Baylor Scott & White All Saints Medical Center – Fort Worth will be matched dollar for dollar as well.

 

Donation Information
Amount:	$ 1,000.00 $ 500.00 $ 100.00 $ 50.00 $ 25.00 Other $     *
Designation:	Area of Greatest Need Andrews Women's Hospital Endowment Cardiovascular Services Fund Child Life Specialist Graduate Medical Education Joan Katz Cancer Resource Center Oncology Program Fund Transplant Program Women's Health Council Other
Other	*
Additional Information
Type of gift:	One-time gift Installments
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
Corporate:	This donation is on behalf of a company
Anonymous:	I prefer to make this donation anonymously
Comments:
Billing Information
Title:	Dr. Mr. Mrs. Ms.
First name:		*
Last name:		*
Country:	United States Argentina Australia Belgium Bermuda British West Indies Canada China Costa Rica Denmark England France Germany Grand Cayman Islands Greece Guam Guatemala Hungary Iceland India Iran Ireland Israel Italy Japan Luxemburg Mexico Netherlands New Zealand Norway Puerto Rico Republic of Korea Republic of Singapore Saudi Arabia South Africa Spain Sweden Switzerland United Kingdom	*
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State:	<Please Select> AA AE AL AK AB AS AP AZ AR BC Br1 CA CZ COL CO CT DE DC FM FL GA GU HI ID IL IN IA KS KY LA ME MB MH MD MA MI MN MS MO MT N/A NE NV NB NH NJ NM NY NL NC ND MP NT NS NU OH OK ON OR PW PA PE PR QC RI SK SC SD TN TX UT VT VI VA WA WV WI WY YT Alb	*
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Payment Information
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	Visa American Express Discover MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040	*
Card Security Code:		*
Matching Gifts
	My company will match my gift
Company:		*
Tribute Information
Type:	in honor of in memory of	*
Name:		*
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Last name:		*
	Mail a letter on my behalf	*

Your donation to a BSW Foundation and any related investment earnings, will be used in accordance with your requested designation. This is consistent with the BSW Foundation’s exempt purposes.