Make a Gift to the Virtual Needs Pantry

Gift Information

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Thank you for supporting the Department of Radiation Oncology's Virtual Needs Pantry Fund. Your contribution provides a safety net for financially disadvantaged patients by helping to cover expenses that are medically necessary during their radiation treatment, such as transportation, lodging, gas and food.

If you prefer to make a gift by mail, please complete and include this PDF donation form with your contribution.

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Yes, automatically repeat this gift every month.

IS THIS A TRIBUTE GIFT?

Yes, this is an honorary or memorial gift

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Send a Notification of Your Gift

Sending an eCard (electronic card) by email is a great way to tell family and friends about this gift. Once your gift is processed, your eCard will be emailed automatically on the date you select below.

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Select an eCard: (tribute gift, gift in celebration, all-occasion)

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If you would like us to mail your designated party that a gift has been made in his/her honor, or to notify a family of a memorial gift, tell us to whom the notification should be sent and the address in the fields below.

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Donor Information

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By checking this option, I agree to use my bank account as a payment method and authorize this organization to debit my bank account to fulfill my donation commitment.