Partners of Stoughton Hospital
$10 Annual Dues

Joining Partners of Stoughton Hospital provides opportunities to support the outstanding services offered by Stoughton Health and makes a significant contribution to our community and the surrounding areas. Each year we collect dues in the amount of $10. These dues along with several fundraisers allow us to support Stoughton Health. We look forward to another productive year.

Please complete the following form to renew your Partners of Stoughton Hospital membership or become a new member.

Partners of Stoughton Hospital Member Dues

Email

This field is for validation purposes and should be left unchanged.

I am a:(Required)

Continuing Partner

New Member

Name(Required)

First Last

Address(Required)

Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code

Phone(Required)

Email(Required)

(Newsletters, schedules and board information will be sent to this email address. Hard copies are only available by requesting each publication.)

There are many opportunities for you to become involved. Please check your areas of interest and we will contact you.

Hospital

Gift Shop

Food & Nutrition Services

Clerical

Stoughton Hospital Foundation

Community Health & Wellness Center

Clerical Support for PR/Marketing & Foundation

Foot Clinic Desk Attendant

Partners Fundraising

Plant Sales

Monthly Cookie Bakes

Card Party

Love Light Campaign

Bake/Craft Sales

Community Service Opportunities

Stoughton Wellness Coalition

Medication Disposal Events

Health Fairs

Senor Center Bingo

Service Projects

Sewing Walker Bags

Knitting Twiddle Muffs

Leadership

Are you interested in a leadership role? (committee chair person, board member, etc.)

Partners of Stoughton Hospital membership directory(Required)

I give permission for my contact information to be included in the Partners of Stoughton Hospital membership directory.

I do not give permission for my contact information to be included in the Partners of Stoughton Hospital membership directory.

Total Payment

CAPTCHA

Click the "Pay Now" button to proceed to PayPal.
You can pay with your credit or debit card—no PayPal account required.

Thank you for supporting Partners of Stoughton Hospital.