Contact information:
Donation Item Information – please include all pertinent information of the item(s) being donated.
Fair Market Value of donation item:
Please print your name exactly how you wish it to appear in all recognition materials, if applicable:
YES, I/we would like to donate a gift-in-kind. I/we understand that my/our gift will benefit Jay’s Hope at Advocate Health Care
You will receive an official tax receipt letter from the Advocate Charitable Foundation after this completed form is submitted and processed. For questions, please contact Megan Fergus at 630.929.6909. Tax ID #36-3297360
Please submit your item/s to:
Ivette Medina
Advocate Health Care
3075 Highland Parkway, Suite 600
Downers Grove, IL 60515
