Join the Women's Wellness Fund

Middlesex Hospital (legal name) is a 501 c (3) not-for-profit organization. Your donation is fully tax deductible. Our tax ID is 06-0646718.

All fields are required unless otherwise noted.

Your Donation

Membership Type
Please select how you'd like to give. (Membership, Monthly Membership, One-Time Donation)
Please indicate how you'd like to support the Women's Wellness Fund
The minimum donation amount is $5.00. If you wish to make a gift of another amount, please call our office at 860-358-6200.
To provide ongoing support, I'd like to become a Monthly Member. I understand that my credit card will be charged monthly for the amount chosen above until I change or cancel my pledge.
You must choose a subscription plan.
You must choose a membership level.
Please indicate if you wish to continue your gift annually.
Automatically renew my contribution yearly
Please indicate how you wish to be listed for recognition.
How would you like to be listed for recognition purposes?
A priority project is required.
I want to support the following women's health projects at Middlesex Hospital in 2024

Dedication

Dedication Type
A dedication type is required.
Honoree's Name is required.
Full Name
Address
City, State Zip/Postal Code

Your Information

(ex. Mr., Mrs., Dr.)
Your first name is required.
Your last name is required.
(ex. Jr., III)
Your address is required.
Your city is required.
Your state/province is required.
Your state/province is required.
Zip/Postal code is required.
Your country is required.
A valid phone number is required.
A valid email address is required.
A confirmation email will be sent to this email address.

Payment Details

Accepted cards
Invalid credit card number.
Expiration Date is required.
mm/yyyy
A valid security code number is required.
Card Verification Value (CVV)