Saint Francis Foundation

The President's Circle

An Appreciation Program for Our Generous Supporters

The President's Circle is the Foundation’s way to recognize your partnership. This unique program provides consistent, personalized service to help members chart their course for good health at Saint Francis Hospital and Medical Center, Mount Sinai Rehabilitation Hospital and Johnson Memorial Hospital. President’s Circle membership honors donors whose charitable annual contributions within the calendar year total $10,000 or more. Lifetime membership is extended to donors whose lifetime contributions total $1,000,000 or more.

 

Membership Form 

To facilitate the services and amenities of The President’s Circle program for you and your immediate family, please complete the information below. If you want a hard copy of the membership form, please click here and return it to the Saint Francis Foundation, 95 Woodland Street, 2nd Floor, Hartford, CT 06105.

(* Denotes Required Fields)

Member 1 Information
Member 1 Name: *
Date of Birth: *
Email Address:
Address: *
City: *
State: *
Zip:
Home Phone:
Work Phone:
Cell Phone:
Member 2 Information
Member 2 Name:
Date of Birth:
Email Address:
Address:
City:
State:
Zip:
Home Phone:
Work Phone:
Cell Phone:
Authorization:
By entering name below, I (we) accept membership in the Saint Francis Foundation's President's Circle program for individuals listed on this form. In doing so, the Saint Francis Foundation has my (our) permission to be notified when the individuals listed above are hospitalized for the sole purpose of offering the amenities and services of The President's Circle program. 
Name of Member 1: *
Date of Authorization: *
Name of Member 2:
Date of Authorization:
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Total Amount: $0.00