Get Involved
Philanthropy at The Miriam Hospital

Charitable Giving Pledge Form

Yes! I want to help keep Miriam
Hospital's services available to all.

Name:
Address:
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I would like to donate:

My gift is in honor of:

or
My gift is in memory of:

Please notify the following of my gift:
Name:
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I have included Miriam Hospital in my estate.

I would like to include Miriam Hospital in my will. Please provide sample bequest language.

I would like information on how a gift can benefit me and my family.



For more information about giving please call Debbi Gilstein Jaffe, chief philanthropy officer, at 401-793-2062 or e-mail djaffe@lifespan.org.

Miriam Philanthropy
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Pledge form