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Building a Pathway to Care

Together we can build a "Pathway to Care" at Santa Monica-UCLA Medical Center and Orthopaedic Hospital. With your purchase of a brick, garden bench or pathway paver, we can create and sustain valuable programs that directly enhance the patient experience. With the support of staff, nurses, physicians, grateful patients and donors like you, Partnership for Care provides compassionate services to patients and their families, offering them dignity and hope in the healing process.

Thank you for your gift.

$5,000 Garden Pathway Panel (6' x 4')
Three lines
25 characters per line
$2,500 Garden Pathway Paver (11.5" x 11.5")
Three lines
20 characters per line
$1,000 Brick (3.5" x 11.5")
Two lines
20 characters per line
Please write your personalized message in the Comments box according to your pathway option parameters.


Required fields are indicated with an asterisk (*).
Gift Information
Pathway Options
I would like to make a fully tax-deductible gift of   Other $

Grand Total:
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Donor Information   

Personal
Title:
* First name:
  Middle name:
* Last name:
  Suffix:
   I am making this gift as a proxy for my organization/company, which should be recognized as the legal donor

Joint Gift
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my spouse/partner:

Contact Information
* Street:
 
U.S. Addresses  
*   City, State, Zip:
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  Non-U.S. City/County
  or Province/Postal Code:
  Country:
* This address is my:
* Home telephone:
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* E-mail address:
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Gift Options
Matching Gift

  My/my spouse's employer will match my gift.
  Company name for matching gifts:
  This company is:
Tribute Gift
Please check this box if you would like to honor a family member, faculty member, business associate, community leader, or other with your contribution.
 
Payment
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Comments: 

     



If you have any questions about this donation, please call 844-474-4387 or email NLGreen@mednet.ucla.edu.
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