online donation Form!!!!!!

Doctors Community Hospital Foundation is a 501(c)(3) organization under the Internal Revenue Service tax code. Gifts are tax-deductible as charitable donations to the fullest extent allowed by law.

Please know that your personal data will be sent securely, and all information is confidential.

Donation Information
Amount:	$1,000.00 $500.00 $250.00 $100.00 Other $     *
Designation:	General Fund Cancer Services Diabetes Care Center Emergency Center Surgical Services Women's Health Center Other
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Additional Information
Type of gift:	One-time gift Recurring gift Pledge (installments)
Frequency:	Weekly Monthly Quarterly Annually On:   Sunday Monday Tuesday Wednesday Thursday Friday Saturday Starting:    Ending:   Ending:
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Title:	Mr. Mrs. Ms. Dr. Miss Mr. & Mrs. The Honorable Chief Admiral Ambassador Brother Capt. Cmdr. Col. Delegate Drs. Father General Governor Judge Lt. Madam Major Pastor President Prof. Rabbi Reverend Secretary Senator Sir Sir/Madam Sister Reverened The Officer Senior Vice President III Lt. Gov. Honorable Lt. Col. Deacon Dea. CEO Mayor Miss. Co-Pastor Councilmember Bishop Elder Dr. & Mrs. Dr. & Mr. Mr. and Mrs. Dr. and Mrs. Lt. General Mr. and Dr.
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