Monthly Giving Club

Gift Information

Donation Amount*
  • $25
  • $50
  • Other $

Your Name

Country*
State / Province*
Address*
City*
*
*
*
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Email*
Confirm Email*
Phone*



Your gift will support The Good Samaritan Fund, providing food,
home and nursing care to older adults in financial need.

Payment Information

Amount*
$
Name on Card*
Card Number*
Additional Comments

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