covid-19 emergency fund

Support Shamir Medical Center's
Coronavirus (COVID-19) Emergency Fund

In these turbulent days the entire world and Israel's health systems is facing with the Corona Virus (COVID-19) crisis. Unfortunately, the pandemic continues to worsen and the number of infected in Israel is increasing rapidly.

Shamir Medical Center (Assaf Haropeh) Israel’s fourth-largest government hospital, serves a population of 1,000,000 people in the central and The Shephelah areas.
Most of our patients belong to the weaker social strata of the Israeli population.

Your contribution—of any size—enables us to deliver the most advanced care to our patients.
Thank you in advance for your support and assistance in saving live

Personal Information

* First Name

* Last Name

* Mobile

* Email Address

I approve sending verifications, instructions and other messages to the email address I have provided.

Donation for Life Saving Equipment

* The Sum You Wish to Donate

Sum for Donation

* Donation Purpose

Please Specify

This gift is in honor or in memory of someone

* Name

Payment

Item	Amount	Price	Sub-Total
Sub-Total			$
Discount
Total			$

Total Amount

$ 0.00

* Payment Method

I agree to make out a check

* Institute Name

* Institute Number

* Institute's accounting contact

* Institute's accounting phone

* Institute's billing address

Account Name: American Friends of Shamir Medical Center (Assaf Harofeh)

Bank Name: JP Morgan Chase Bank, N.A.

Routing Number (ABA#): 021000021

Tax Payer ID: 13-2861992

Address of the Account: c/o Irina A. Olevsky

61A 9th Street, Suite 14, Brooklyn, NY 1121

I agree to make a bank transfer of the aforementioned amount

After submitting the form you will be redirected to PayPal to confirm the transaction. Only after doing so your registration will be completed.

Invitation code

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American Friends of Shamir Medical Center is tax-deductible in accordance with applicable laws.
Accorded tax-exempt status, 501(c)(3) by Internal Revenue Service and Employer ID Number: 13-2861992;

Contact person:
Adv. Irina Olevsky, President
The American Friends of Shamir Medical Center (Assaf Harofeh)
e-mail: iolevsky@aol.com
cell phone: +1 (917) 599-6553
A 9th Street, Suite 1461
Brooklyn, NY 11215

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