Giveaway Item Donation

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GIVEAWAY ITEM DONATION

Memorial Hospital of Carbondale Skilled Care Nursey 5K Run/Walk event will be hosting giveaways throughout the event. If you are interested in donation an item(s), please fill out the information below and a staff member will be in contact with you to arrange a pick up of your donation.

Thank you for your generous donation and support of the event.

Item Information

Item Name:*

Estimated Value $:*

Item Description:*

Notes:

I am a(n):*

Individual Donor

Business Donor

I would like to remain anonymous:*

Yes

No

Contact Information

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country / Location:*

Mobile Phone:

Home Phone:

Work Phone:

Email:*

Submit
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THANK YOU SPONSORS!

About Us

The SIH Foundation works together with the SIH Harrisburg Medical Center Foundation as the charitable arms of Southern Illinois Healthcare (SIH) to receive philanthropic gifts on behalf of the numerous SIH facilities and including our SIH Patient & Community Support Funds. The funds raised are used to enhance and support the SIH mission of improving the health and well-being of all the people in the communities we serve.

For more information about the SIH Foundation, please visit www.sih.net/foundation.

To keep in touch with the SIH Foundation, subscribe to the GIVING BACK newsletter.

For more information about SIH, please visit www.sih.net.
Jocelyn Popit, Director, SIH Foundation
618.457.5200 ext. 67843
jocelyn.popit@sih.net

Address
PO Box 3988
Carbondale, IL 62902-3988