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Want to make a difference?

Consider becoming a member of the Crouse Hospital Auxiliary. Several dues levels are available and Auxiliary members can have fun and make new friends by volunteering at many hospital events.

Member dues fund all Auxiliary operating expenses, with nearly 100 percent of fundraising dollars contributed to the hospital. That means even if you’re unable to participate in Auxiliary activities as a volunteer or guest, your support helps the Auxiliary to maximize their fundraising efforts.

We invite you to become a member of the Crouse Hospital Auxiliary!

Crouse Hospital Auxiliary Membership Application
* = Required

* First Name
Middle Initial
* Last Name
* Street Address
* City
* State
* Zip
Email Address
* Phone Number(s)
* Membership Level
(select one)

If you’d like to participate in Auxiliary activities, please indicate below and you will be contacted to help!
(select all that apply)

When you submit this form, it will be sent directly to the Crouse Hospital Auxiliary Membership Chairperson.

Please make your check out to Crouse Hospital Auxiliary in the amount of the membership level selected. Write “Auxiliary Dues” in the memo area of your check, and mail to:

Crouse Hospital Auxiliary
Attn: Membership Treasurer
736 Irving Avenue
Syracuse, NY 13210


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