As you know, we chose the special number of 195 to base our pledges on for the past few years. Why 195? Because that is the number of beds in our hospital and makes your pledge mean so much more to our patients. With the overwhelming support for our chosen number of 195 since the year 2020, we will again use this number to base your pledge off of!

This form will set your Homers for Health pledge up to auto-renew each year. If you wish to only pledge for one year, please click here.

Make Your Pledge
Totals below are based on 195 - representing the number of beds in SSM Health Cardinal Glennon.
Amount:	$0.25 per patient bed ($48.75 donation) $ 0.25 $0.50 per patient bed ($97.50 donation) $ 0.50 $0.75 per patient bed ($146.25 donation) $ 0.75 $1 per patient bed ($195 donation) $ 1.00 $2 per patient bed ($390 donation) $ 2.00 $3 per patient bed ($585 donation) $ 3.00 $4 per patient bed ($780 donation) $ 4.00 $5 per patient bed ($975 donation) $ 5.00 $7 per patient bed HOLLIDAY HERO ($1,365) $ 7.00 $10 per patient bed HOLLIDAY HERO ($1,950) $ 10.00 Other amount greater than $0.25 cent $     *
Rules of the Game
Your credit card will be billed two times during the year. This year’s charges will be based on our special predetermined number - 195. The first charge for 97 will be processed IMMEDIATELY. The second charge for 98 will be processed the week of October 7.
Homers for Health Pledge:	Processed in two-half installments (IMMEDIATELY and October 7)
Processed IMMEDIATELY and:	October 7 Pledge Date:      Ending:
I wish to receive the Glennon Gram Newsletter:	Yes No
How Did You Hear About Homers for Health?:	<Please select> 97.1 FM Talk Y98 101 ESPN 102.5 KEZK 105.7 The Point 106.5 The Arch Bally Sports Midwest Billboards Business Journal Email from SSM Health Cardinal Glennon Facebook Instagram KMOV News 4 KSHE-95 Ladue News LinkedIn Mailing from SSM Health Cardinal Glennon New Country 92.3 School Outreach SSM Health Cardinal Glennon STL Today.com/St. Louis Post Dispatch Town & Style Twitter	*
Please send me information on the following:	Planned Gifts Leaving Cardinal Glennon in my Will
Name to be recognized as HOLLIDAY HERO:
Billing Information
Please make sure the email address you enter is accurate so you can receive your charge reminders and acknowledgment email for your records.
Title:	Mr. Mrs. Ms. Miss Dr. Father Sister
First name:		*
Middle name:
Last name:		*
Country:	United States Australia Belgium Canada China England Ireland Israel Italy Japan Mexico Netherlands New Zealand Philippines Poland South Korea Sweden United Kingdom Uruguay Germany Switzerland Spain Guam Puerto Rico Virgin Islands	*
Address lines:		*
City:		*
State:	<Please Select> AA AB AE AK AL AP AR AS AZ BC CA CO CT CZ DC DE FL FM GA GU HI IA ID IL IN KS KY LA MA MB MD ME MH MI MN MO MP MS MT NB NC ND NE NL NH NJ NM NS NT NU NV NY OH OK PH OR PW PA PE PR PL QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY XX UK KUM ON NSW QLD YT OH	*
ZIP:		*
Phone:		*
Email:		*
Confirm Email:		*
Payment Information
All donations will be processed in US dollars.
Cardholder's Name:		*
Credit Card Number:		*
Card Type:	Visa American Express Discover MasterCard	*
Card Expiration:	01 02 03 04 05 06 07 08 09 10 11 12  / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039 2040 2041 2042 2043	*
Card Security Code:		*
Matching Gifts
Please submit a matching gift request to your employer if you wish to increase the impact of your gift.
	I will submit a matching gift request to:
Company:		*

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