Westfields Hospital & Clinic Foundation

Gift Information

Donation Amount*
$

You may donate online here with a credit card.  Or you may print this page, fill out the form, and mail with check to Westfields Hospital Foundation, 535 Hospital Rd., New Richmond, WI  54017

Make sure you select which fund you would like to apply your donation.  Fund names can be found in the drop down list.

Contact Information

Country*
Email*
Confirm Email*
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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