Many of you have been so kind as to ask for a place to donate to in Fisher's honor. Below is a form you can print to donate to the NICU at Columbia-Presbyterian along with contact information for the point person there. Money we donate will go toward buying vital supplies and equipment for the NICU. Thanks again.
Donation Form
Gifts in Memory of Fisher Daniel Kayne
Donor Information
Donor First Name: ____________________Donor Last Name:____________________
Company (if corporate gift): _______________________________________________
Address: ______________________________________________________________
( ____Home____Business)
City:____________________State:___________________Zip:___________________
Daytime Phone: ________________________________________________________
Credit Card Information
____Visa ____MasterCard ____American Express
Card Number: __________________________________________________________
Card Expiration Date: ____________________________________________________
Name as it appears on card: _______________________________________________
Signature:_____________________________________________________________
Gift amount: ___________________________________________________________
Check Information
____Enclosed is my check payable to NewYork-Presbyterian Morgan Stanley Children’s Hospital. Please note on the memo line IMO Fisher Daniel Kayne.
For credit card donations completed forms may be faxed to: 212.342.0939 or
emailed as an attachment to: joe9020@nyp.org
Please address mail to:
Joshua Edwin
Morgan Stanley Children’s Hospital of NewYork-Presbyterian
Office of Development
To make a donation by phone, or for more information, please call 212.342.0933.
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