Mercy Medical Center, Trinity Health

The President's Circle

An Appreciation Program for Our Generous Supporters

The President's Circle is the Office of Philanthropy's way to recognize your partnership. This unique program provides consistent, personalized service to help members chart their course for good health at Mercy Medical Center, its affiliates and Johnson Memorial Hospital. President’s Circle membership honors donors whose charitable annual contributions within the calendar year total $10,000 or more. Lifetime membership is extended to donors whose lifetime contributions total $1,000,000 or more.

President's Circle Brochure

Membership Form 

To facilitate the services and amenities of The President’s Circle program for you and your immediate family, please complete the information below. If you want a hard copy of the membership form, please click here and return it to the Mercy Medical Center - Office of Philanthropy, 271 Carew Street, Springfield, MA  01104.


Member 1 Information

Name *
Date of Birth *
Email *
Address *
Address 2
City *
State *
Zip *
Home Phone
Work Phone
Cell Phone

Member 2 Information

Name
Date of Birth
Email
Address
Address 2
City
State
Zip
Home Phone
Work Phone
Cell Phone

Authorization

Name of Member 1 *
Date of Authorization *
Name of Member 2
Date of Authorization

Opt Out


Thank you for your submission.  If you have any questions, please email Geffrey.hoyt@trinityhealthofne.org or call 413-748-9920.