giving

Donate Online Today

Thank you for choosing to make a gift to Hospice of Northwest Ohio. After you submit this form on our secure site, you will receive an email confirmation that your gift has been received. In addition, you will receive an acknowledgement of your gift via U.S. mail. You can also download a form here to print out and send via U.S. mail.

If your gift is being made in memory or in honor of someone, we will notify the individual you are honoring or the family members of the person you are remembering of your gift. Please be sure to provide complete contact information for these individuals on this form.

If you would like to discuss a major gift or are interested in supporting a certain project, please contact:

John Lechman, CFRE
Vice President, Philanthropy
Phone: 419-931-5187
Email: jlechman@hospicenwo.org

* = Required


I would like to make a donation to Hospice of Northwest Ohio.

I would like to donate:

 I would like to make a recurring donation.

Donor Information

Name of Donor
Phone Number (xxx-xxx-xxxx)
Email
 This gift is from another individual or organization.
 This gift is from a group of people.

Is this Gift in Memory or Honor of Someone?

 Yes
 No

Please select one category for your gift.

 2021 Annual Fund
 Gift is a memorial or general donation and should be used where the need is greatest
 Gift is in support of a special event or project

Matching Gift Program?
Many area employers sponsor matching gift programs for employees or retirees. This could double your gift to Hospice of Northwest Ohio.

 My employer has a matching gift program.

Donor Address

(must match billing addess for credit card)
Address
Address 2
City
State
Zip
Country

Credit Card Information

Selected Donation
$
Select Card Type
Name
(as it appears on the credit card)
Card Number
(no dashes or spaces)
Exp. Date
CVV
Comments for HNO in processing this donation.
 

Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.

A: B: Click to Move