Memorial Health Foundation

Memorial 2020 Campaign (one-time gift)

Thank you for joining hundreds of supports as together, we create a new standard for healthcare through the Memorial 2020 project. To finalize your one-time gift, please complete the information below. If at any time, you have questions or you would rather provide a pledge payable over multiple years, please contact the Foundation office at (937) 578-4272.

Donation Amount*

Contact Information

Confirm Email*

Recognition Information

Contributions of $250.00 or more will be acknowledged with a comprehensive commemorative display of campaign donors. May we include your name? (yes or no)
It is fine to include my/our name(s) with the published list of donors? (yes or no)
Name of Donor(s) as you wish it to appear in all recognition

Payment Information

Credit Card Type
If business credit card, please list company name and address card is associated with.
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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