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Home
Healthy Today
Philanthropy
Why Give
Giving Opportunities
Grateful Patient Program
FAQ’s About Giving
Cancer Ribbon Walk Paver Program
Mosaic Life Stories, Cancer Care
CARES Act
Philanthropy Team
Mosaic Life Care Auxiliary
Auxiliary Board of Directors
Auxiliary Funding
Auxiliary Gift Shop
Auxiliary Membership
Volunteer Services
Volunteer Opportunities
Become a Volunteer
Healthy Tomorrow
character education emPowers
emPowerU
e2 Fellowship
Programming Annual Report
STEAM After-School
STEAM Camps
Camp Invention
Healthy Together
character education emPowers
Think Ahead Works®
Scholarships
Grants
Albany
Gift Shop
Hospital Philanthropy
FAQ’s About Giving
Ways To Give
Why Give
Volunteer Services
Become a Volunteer
Volunteer Opportunities
Ways To Give
Donate Now
December 1, 7 a.m. - 5 p.m.
Gift Shop Holiday Fair Application
Company Name
Contact
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
Items to be sold
Do you require electricity?
Yes
No
Purpose
I do NOT need a table in my booth, please remove:
Yes
Rooms and spaces are assigned on a first come first serve basis.
Craft Fair Booth
Price:
Total
$0.00
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Expiration Date
Security Code
Cardholder Name
eCheck
Name on Account
*
:
Check Number
*
:
Account Type :
SavingsAccount
CheckingAccount
Check Type :
Company
Personal
Routing Number
*
:
Account Number
*
:
Repeat Account Number
*
:
CAPTCHA
CANCELLATIONS
All cancellations must be received by Nov. 17, 2023. Please contact the Mosaic Life Care Auxiliary Gift Shop at giftshop@mymlc.com to request a cancellation.
