Healing Garden at Aurora BayCare Medical Center

Honor a loved one

Pavers will be displayed along the walking trail at Aurora BayCare Medical Center in Green Bay. Your donation in support of our Green Bay Well Community Fund in the following amounts inscribes a paver:

$200 - 4” x 8” Paver, 3 lines, 14 characters per line
$500 - 8” x 8” Paver, 4 lines, 14 characters per line
$1,000 - 8” x 16” Paver, 8 lines, 14 characters per line

Logos, graphics, phone numbers and Internet addresses are not permitted. A Foundation team member will contact you to confirm your inscription.

If you wish to make your donation by mail, please download and print this form.

Gift Information

Field Is Required Select Gift Amount:

$200.00

4" x 8" Paver

$500.00

8" x 8" Paver

$1,000.00

8" x 16" Paver

This gift is in honor or in memory of someone

Honor Gift Type:

Honoree First Name:

Honoree Last Name:

Notification Options

Yes, Send an eCard Yes, I would like to send an eCard.

Send eCard onSelect month of credit card Select Expiration Year

Select an eCard:

Recipient email addresses:

eCard Subject:

Add your personal message here (255 charachter max.):

Notification Recipient Name:

Notification Recipient Street 3:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Notification Recipient Country:

Your Information

Title:

First Name:

Last Name:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Phone Number

Email Address:

Yes, I would like to make this donation anonymously

Yes, I would like to receive communication from this organization.

Payment Information

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Expiration Date:Select month of credit card Select Expiration Year

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