Donation Form

GIVE ONLINE
Giving Tree Donation Form

WHAT IS THE GIVING TREE CAMPAIGN?

The Giving Tree is a physical sculpture being built in the lobby of the Irvington Dave Clinic, at 40910 Fremont Blvd, as a way of publically showing the commitment of our partners in the community. The tree’s trunks and fronds are built, and TCHC is looking to the community to help us build the leaves. Each purchase of a leaf will result in a leaf engraved with the donor’s name and attached to the tree.

Leaves are available for $500, $1000, and $5000. All leaves are the same size.

THE STORY OF THE GIVING TREE

Our Irvington Dave Clinic is dedicated to a freed slave named Dave, one of the original business settlers in the Irvington area of Fremont. "Irvington Dave" was brought to California by an abolitionist, arriving in the Irvington area around 1850. Seeking safety and opportunity, Irvington Dave established a saloon at the intersection of trails to San Jose and Oakland, known as the "four corners." Irvington Dave’s establishment was incorporated into the business district of Irvington, which eventually become part of today’s Fremont.

Donation Information

Amount

$500

$1000

$5000

Type of Donation

One Time DonationRecurring Donation

Gift Limit (recurring only)

Gift Designation

Donor Acknowledgement Provide text for how you prefer to be recognized.

Recognition Text

Contact Information

First Name

Last Name

Address

City

State/Province

Zip/Postal Code

Home Phone

Work Phone

Cell Phone

Help Us Cover Costs

Simply leave "Yes!" checked below to ensure that 100% of your intended donation is available for our mission.

Yes! I want $0.00 to go to Tri-City Health Center and I will donate $0.00.No. I will donate $0.00 and Tri-City Health Center will cover the processing costs.

Payment Information

Payment Type

Credit Card Information

Card Holder Name

Card Account Number

Expiration Date

Security Code
Click here for CVV2 information

Billing Address

Same As Above

Address

City

State/Province

Zip/Postal Code

Continue to Step 2 to process your donation

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