


| GNGH Foundation 5546 Portage Road Niagara Falls, ON L2E 6X2 T: 905-358-4900 E: gnghfoundation@niagarahealth.on.ca |
| Donate now. |
| Many corporate and community groups come together throughout the year to support the GNGH Foundation in raising money to purchase new or replacement equipment used in our hospital. This year the hospital has more than $6 million in equipment requests. We can't do it on our own! But thanks to our many supporters we don't have to. |


| If you are interested in organizing a special event on behalf of the GNGH Foundation please contact June at 905-358-4900 or email June at june.cooper@niagarahealth.on.ca |
| Charitable Number: 11923 5885 RR0001 Webmaster |
| To Show Our Appreciation . . . |
| GIFTS FROM $100 TO $4,999 Supporter ($100 to $249) Donor’s name listed in the spring edition of the GNGH Foundation newsletter — The Monitor. Member ($250 to $999) Donor’s name listed in the spring edition of the GNGH Foundation newsletter — The Monitor. Associate ($1,000 to $4,999) As above, plus invitation to Chairman’s Circle reception and a personal call from a GNGH Foundation Board Member. |
Gifts over $25,000 may also provide the donor with a naming opportunity within the hospital. For more details on naming opportunities please speak with a staff person from the GNGH Foundation. |
| GIFTS GREATER THAN $5,000 Donors who give over $5,000 are listed according to donor category on the permanent Donor Wall located in the Greater Niagara General. They will also receive a personal thank you call from a GNGH Foundation Board Member and an invitation to an Annual Recognition Event. Donor Wall Categories include: Friend ($5,000 to $9,999) Partner ($10,000 to $24,999) Patron ($25,000 to $99,999) Benefactor ($100,000 to $249,999) Founder ($250,000+) |

| Donations are cumulative and may over time result in a donor moving to a higher category. Donors will be contacted when they move up to the next donor level. |
Third Party Event Information and Agreement. Please print this form and then send into the GNGH Foundation office for approval. |