Donate Now - Burke Rehabilitation Center

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Pioneering Rehabilitation

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Your Information

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First Name

Middle

Last Name

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Address 1

Address 2

Address 3

City

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Phone

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Your Gift

Gift Type

Burke's Monthly Giving Program — here's how it works. Each month your credit card is charged in the amount you designate. Your first gift is charged immediately; subsequent gifts are charged on the Renewal Day each month thereafter.

Your monthly gift can be changed or cancelled at any time by calling the Development Office at (914) 597-2348.

If you have any additional instructions or concerns, please use the Additional Comments area below.

Thank you for your generosity.

Gift Amount

Renewal Day

of the month

Please send an email confirmation to the address below.

Email Address

Gift Matching

Increase your giving power by letting the company you work for match your contribution. Please mail a completed matching gift form from the matching corporation to:

W.M. Burke Foundation
785 Mamaroneck Avenue
White Plains, NY 10605

My gift will be matched by:

Direct Your Donation

I would like my donation to be directed to:

Recognition Options

I would like to make a donation to honor/recognize a Burke employee for an outstanding experience they provided. (Burke will notify the employee of the donation, but the amount will not be disclosed.)

Employee's Name

I would like to make a donation in someone's name for a special occasion. (The amount of the donation will not be disclosed to the recipient.)

Honoree's Name

Occasion

An acknowledgement letter should be sent to the following address:

Address

I would like to make a donation in someone's memory.

Honoree's Name

An acknowledgement letter should be sent to the following address:

Address

Additional Comments