Gift Information

Donation Amount*
  • $50
  • $100
  • $250
  • $500
  • Other $

Recipient Information (if Sending eCard)

Gift Recipient/ Honoree
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Recipient Email
Gift Message

Contact Information

Country*
Email*
Confirm Email*
Phone*

Floating Doctors' intent is to use all designated gifts for the specific purposes and projects designated.  In exceptional circumstances where the designated purposes are not longer feasible or have been completed, Floating Doctors may redirect such gifts to other appropriate programs or projects.  Under such circumstances, Floating Doctors Executive and Program Directors will, to the extent deemed feasible, retain the basic original purpose of the donation.

 
 

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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