Glens Falls Hospital

100 Park Street, Glens Falls, NY 12801 518.926.1000

If you would like to make a donation to the Glens Falls Hospital Foundation, please provide the following information. Please note that our Glens Falls Hospital Foundation online donation form is protected by Secure Socket Layer (SSL) technology for your privacy and security.

Your information

* First Name

* Last Name

* Street Address

Street Address 2

* City

* State

* Zip Code

* Day-Time Phone

* E-mail

I would like to make a gift to:

2016 Annual Fund



I would like to make a gift of:


Payment Options

Credit Card Information

* Name on card:

Method of payment:

* Credit Card Number:

* Expiration Date:

* Card CVV/CV2:

[ What's This? ]

Tribute Gifts

Please send acknowledgement to:       OR   


Street Address



Zip Code

Matching Gifts


Your gift is tax-deductible as allowable by law.