Gift Information

Donation Amount*
$
Please designate my gift for:*
  • Healthy Futures Fund (CCFH Clinic)
  • Family Connects Durham (Prevention)
  • Healthy Families Durham (Prevention)
  • Unrestricted

Use the Tribute fields to designate a gift in honor or in memory of a friend or loved one.


If you would like notification of your honor/memorial gift sent, include the name and address of recipient(s) in the Additional Comments box below.

 
 
 
Tribute Name

Donor Information

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Phone*

Payment Information

Amount*
$
Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.
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