Partners of Stoughton Hospital
Love Light Donations

Join Us for a Special Program, Music, and Refreshments
Thursday, December 4 at 4:30 p.m.
Stoughton Hospital
Bryant Health Education Center
900 Ridge Street, Stoughton

Although donations are accepted all year, gifts must be received by Friday, November 21, 2025 to be included in the 2025 Love Light Program.

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Your Name*

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Type of Donation*

In Memory

In Honor

In Recognition of Military Service

Name of Person Being Recognized*

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Yes, please send a notification.

No, thank you.

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Please check here if you would like to recognize anyone else.

Please check here if you would like to recognize anyone else.

Type of Donation*

In Memory

In Honor

In Recognition of Military Service

Name of Person Being Recognized*

Do you want us to notify someone about your gift?*

Yes, please send a notification.

No, thank you.

Notify Name*

Notify Address*

Street Address Address, Cont. 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

Please check here if you would like to recognize anyone else.

Please check here if you would like to recognize anyone else.

Type of Donation*

In Memory

In Honor

In Recognition of Military Service

Name of Person Being Recognized*

Do you want us to notify someone about your gift?*

Yes, please send a notification.

No, thank you.

Notify Name*

Notify Address*

Street Address Address, Cont. 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

Please check here if you would like to recognize anyone else.

Please check here if you would like to recognize anyone else.

Type of Donation*

In Memory

In Honor

In Recognition of Military Service

Name of Person Being Recognized*

Do you want us to notify someone about your gift?*

Yes, please send a notification.

No, thank you.

Notify Name*

Notify Address*

Street Address Address, Cont. 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

Please check here if you would like to recognize anyone else.

Please check here if you would like to recognize anyone else.

Type of Donation*

In Memory

In Honor

In Recognition of Military Service

Name of Person Being Recognized*

Do you want us to notify someone about your gift?*

Yes, please send a notification.

No, thank you.

Notify Name*

Notify Address*

Street Address Address, Cont. 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

Enter Donation Amount*

Billing Name*

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Email Address*

Billing Address*

Street Address Address, Cont. 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

Total Donation

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Thank you for supporting Partners of Stoughton Hospital.