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How much would you like to donate to Evangelical Community Hospital?

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$

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If Other

Would you like to give your gift in honor or in memory of someone?

If you would like to make a gift to support Evangelical Community Hospital, you can do so online by completing the form below. Or, if you prefer, you can download our printable donation form and send it by mail along with your gift.

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I have a form stating that my company will match my gift. Please contact me.
I have included Evangelical Community Hospital in my estate plans.

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Please make my gift available to support any Evangelical Community Hospital program and/or service.

I would like my gift to be used for the program, service, or department I have indicated in the comments/special instructions below.
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Personal Information

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Billing Information

Same as my Personal Information
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Please carefully review all information—your card will be charged once you click Submit.

It is the Hospital’s policy that gifts are non-refundable. For more information, contact the Development Office at 570-522-2685.

Donation Information