Please note that fields with an asterisk (*) are required.
The minimum on-line contribution is $10.00
Leaving the above field blank means we will use your name for public acknowledgement purposes. If you wish your contribution to be Anonymous, please indicate this in the space provided above.
Please send an acknowledgement of this contribution in honor/memory of to:
I wish my contribution to be (fill in any that apply)
If contributing by check, please make your check payable to Health Care for All-Oregon (or HCAO)
and send it to us at the following address:
1443 SE 122nd Avenue
Portland, OR 97233
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