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Support Johns Hopkins Bayview Medical Center

Light the Labyrinth

Thank you for your gift to the Johns Hopkins Bayview Fund in celebration of our Light the Labyrinth event. Your donation will support those areas in greatest need at Johns Hopkins Bayview Medical Center.
* Gift Amount: $    $250
 Alternative Gift Amount (enter below)
Alternative Gift Amount: $ 
Other Designation (please describe) 
Will you be attending the Light the Labyrinth Celebration?  

Giving In Honor or In Memory Of

My Gift is...   In Honor Of    In Memory Of  
If checked, please enter the full name and address of the person who you are giving in honor or in memory of
Honoree's Name and Address 

Would you like to notify family members or next of kin of your gift? If yes, please include a name and address in the space provided below or check "Same as Above."
   Same as Above
Alternate Notification Address 

Donor Information

* First Name 
* Last Name 
* Street Address 
* City 
* State  
* Zip 
Enter N/A for non-US or Canada addresses
* Country  
* Home Phone 
Work Phone 
Best Time to Call  
* E-mail 
Are you a graduate of Johns Hopkins? 
If yes, from which school and year?  
Is this gift given jointly with another individual or organization?  
If yes, please provide the full name of person or organization 
   I wish this gift to be anonymous

Credit Card Information
Please charge my credit card (all fields required)
* Card Type  
* Card Number 
* Expiration Month/Year     
* CVV 
CVV is a 3-digit number on the back of a VISA or MasterCard; It is a 4-digit number on the front of an AMEX.

Matching Gift Information

My company will match my gift    Yes
 I have submitted my gift information to my company matching gift program.

Please send your company's matching gift form to:

Fund for Johns Hopkins Medicine
One Charles Center
100 N Charles Street, Suite 300
Baltimore, MD 21201

Questions about matching gifts? Please email

Information Request

How did you hear about Light the Labyrinth?    A brochure I picked up in the hospital
 A solicitation letter I received in the mail
 Johns Hopkins Bayview Medical Center website

Questions or problems? Please email the online giving administrator.

Please click Submit only once to avoid multiple charges.


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