LifeBridge Health Home Sinai Home Sinai Hospital Auxiliary Sinai Auxiliary Gift Cards Sinai Auxiliary Gift Card Order Form

Control Font Size This form may be used to submit up to three gift card orders at one time. For additional orders, please click on the Order More Gift Cards� button at the bottom of the order confirmation page. To purchase blank cards by quantity, please fill out the Blank Message Card area below. Gift Card purchases are invoiced monthly. The Cancer Research Card Proceeds benefit the Alvin & Lois Lapidus Cancer Institute at Sinai The General Card Contributions help support patient care The PICU Card Supports the hospital's state-of-the-art pediatric intensive care unit The Heart Pillow Card Funds provide a special "Heart Pillow" to patients recovering from heart surgery The Baby Closet Card Funds provide a package containing all that's needed for a baby's first week of life The Research Card Funds the latest techniques for surgery and research     * required info Personal Information *Your Name *Mailing Address *City *State *Zip Telephone Number Your Email Blank Message Cards "If you prefer to send these cards yourself, please indicate the total number for each type of card that you would like to have sent to you."  Cancer Research Card - $10 General Card / Holiday Card - $5 (6 cards for $25.00) Heart Pillow Card - $20 Baby Closet Card - $20 Research and Education Card - $10 Children Are Special (PICU) Card - $5 (6 cards for $25.00) General Message Cards Card One: *Please indicate what card you would like sent: Baby Closet Fund- $20 Cancer Research - $10 Children Are Special PICU- $5 General Card- $5 Heart Pillow Fund- $20 Research & Education Fund- $10 Recipient's Name * Receipient's Mailing Address * Receipient's City * Receipient's State * Receipient's Zip * Please type below what you would like to have written on the card (maximum 100 characters):* Please enter a message Card Two: *Please indicate what card you would like sent: Baby Closet Fund- $20 Cancer Research - $10 Children Are Special PICU- $5 General Card- $5 Heart Pillow Fund- $20 Research & Education Fund- $10 Recipient's Name * Receipient's Mailing Address * Receipient's City * Receipient's State * Receipient's Zip * Please type below what you would like to have written on the card (maximum 100 characters):* please fill out Card Three: *Please indicate what card you would like sent: Baby Closet Fund- $20 Cancer Research - $10 Children Are Special PICU- $5 General Card- $5 Heart Pillow Fund- $20 Research & Education Fund- $10 Recipient's Name * Receipient's Mailing Address * Receipient's City * Receipient's State * Receipient's Zip * Please type below what you would like to have written on the card (maximum 100 characters):* please fill out Specialty Cards Newborn Knitting Program - $50.00 Provides yarn to volunteer knitters who knit caps and blankets for Sinai’s newborns First Grader Program - $75.00 Introduces First Graders to the Hospital setting and healthy heart and hygiene habits Elfie the Elephant Program - $100 A visit to the Pediatric Unit by Elfie the Elephant Holiday Cards Holiday cards can be purchased, addressed and sent: 10 cards and over - $3.00 each

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