San Diego Hospice and The Institute for Palliative Medicine offers vital programs and services thanks to the generosity of people like you. The value of your donation is increased by the fact that at San Diego Hospice and The Institute for Palliative Medicine, the ratio of volunteer workers to paid staff is almost 36 to one. Contributions to San Diego Hospice and The Institute for Palliative Medicine, a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code, are deductible for computing income and estate taxes.

  • To donate by mail, please fill out, print, and mail the form below to: San Diego Hospice Foundation, 4311 Third Avenue, San Diego, CA 92103.
Donate by Mail Form

NOTE:  The San Diego Hospice Foundation values your privacy and does not sell or trade any information about its donors.

General Donation: Your charitable tax-deductible donation starting in any amount over $5.00 will help to support the programs and services of San Diego Hospice and The Institute for Palliative Medicine.

Donation Information

I want to make a donation of:

$  
(Min. $5.00)

Please select one of the following:
General Donation
Memorial Leaf Program = $1,000 gift
Tribute Garden = $2,500 and up
Pillars of Inspiration = $10,000 and up
Memorial Point = $2,500 and up
A Thousand Words = $500
 

Remember someone special or give a donation in honor of someone close to you by an Honor or Memorial donation:

I want to make my donation: In Honor of    -or- In Memory of

Name of Honoree or Memorial:   

(Acknowledgement cards will be sent to you and your designee. Make sure you complete Donor Information section to receive your acknowledgement card. Suggested min. $25.00.)

Please notify the following of my donation:

Title:
First Name:
Middle Initial:
Last Name:
Suffix:
Address Line 1:
(e.g. 1234 Main St., Apt 102)
Address Line 2:
City:
State:  
ZIP:    (example: #####-####)

 

Donor Information
Title:
First Name:
Middle Initial:
Last Name:
Suffix:
Company/
Organization Name:
Address Line 1:
(e.g. 1234 Main St., Apt 102)
Address Line 2:
City:
State:   (Intl: Select European APO/FPO)
ZIP:    (Intl: Enter 00000)
Country:
Daytime Phone:   
(US: (###) ###-####, Intl: +##-####-####-)
Evening Phone:
(US: (###) ###-####, Intl: +##-####-####-)
E-mail:
  I may be contacted by e-mail.

 

Payment Information

A check, payable to San Diego Hospice Foundation, is enclosed.

Charge my credit card (please fill out the information below for credit card transactions).

First Name:
Middle Initial:
Last Name:
Address Line 1:
(e.g. 1234 Main St., Apt 102)
Address Line 2:
City:
State:    (Intl: Select European APO/FPO)
ZIP:    (Intl: Enter 00000)
Daytime Phone:   
(US: (###) ###-####, Intl: +##-####-####-)
Evening Phone:  
(US: (###) ###-####, Intl: +##-####-####-)
E-mail:
  E-mail me a confirmation of this transaction.
  Please e-mail further information about SDHIPM.
Credit Card Type:
  Expiration Date:      
Credit Card Number:

Thank you for your generous support of San Diego Hospice and
The Institute for Palliative Medicine!