Burke Hospice & Palliative Care Online Donation Form

Thank you for donating to Burke Hospice & Palliative Care! Your donation today will help our patients in greatest need. We offer PayPal to process your credit card donations quickly and safely.

NOTE: You may also use this form if you are donating by check in Memory or Honor of someone. Please enter your information here today and then mail your check to us. You may direct your mail to:

Burke Hospice & Palliative Care
1721 Enon Road
Valdese, NC 28690

For faster processing, please include the name of the person you are honoring in the Memo line of your check.

Donor's Information

Donation Amount *

First Name *

Last Name *

Business or Organization Name

Address Line 1 *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address

Note: Burke Hospice will never share or sell your contact information. And we don't spam!

Memorials & Honorariums

Is your donation today In Memory Of, or In Honor Of, someone special? *

In Memory Of

In Honor Of

Not a Memorial/Honorarium

In Memory Of *

In Honor Of *

Would you like us to send acknowledgement of this donation to someone? (Amounts are not specified in our notification letters.)

*

Yes

No