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HOME arrow FOUNDATION arrow Make A Donation Online
Donate to Spencer Regional Healthcare Foundation
 
For your convenience, you may make a gift to the Spencer Regional Healthcare Foundation on-line using a credit card. We will send you an acknowledgement, thanking you for your thoughtfulness. If your contribution is an honor or memorial gift, we are also happy to send an acknowledgement to the family, notifying them of your gift. If you have any questions, please contact the Foundation at 712-264-6461 or by e-mail.

*=Required Field

Donor Information
*Last Name:
*First Name:
*Address:
*City:
*State:
*Zip code:
*Telephone:
E-Mail Address:

I would like my gift to go toward (please choose one):
If other, please specify: 
My contribution is an event sponsorship for the following:
   If other, please specify:  

Recognition / Honor Gift (Optional)
May we publicly recognize your gift (without mentioning the amount)?  
 Yes   No
How should your name(s) be listed for recognition?  
A memorial gift is a wonderful way to pay tribute to someone who is deceased. An honor gift may be given in recognition of someone who is still living whom you would like to recognize. The person honored may be anyone - a relative, friend, co-worker, boss, caregiver, etc.
 This gift is in memory of:
 This gift is in honor of:    
If this is a memorial or honor gift, please include a name and address to whom we can send an acknowledgement of your gift:

Last Name:
First Name:
Address:
City:
State:
Zip code:
Telephone:

Payment Method
Credit Card: Mastercard  Mastercard Visa
*Amount:

*Card Number:
*Card Verification Number:
Card Verification
NumberFor most cards the verification number is a 3 digit number found on the back of the card on the signature panel (normally the last 3 digits). Click on the image to see a larger version.
*Expiration Date:month: year :