Make an Online Gift

Make a Gift

Yes, I want to support the health of our community by making a gift to the Memorial Medical Center Foundation.

Amount:

Gift Type:

In Honor of
To commemorate a special occasion
To acknowledge an achievement or special event
Other

Gift Description:

Make my gift:

Unrestricted - Where the need is the greatest
Restricted to (indicate below):

Estate Planning: Send me information on how to include the MMC Foundation in my will or estate plans.

Gift Notification

Please send acknowledgement of this gift to the following person. The amount of the gift will not be disclosed. (The acknowledgement fields are optional.)

Name: Address:

City:

State: Zip:

Please add any additional information you would like to share about this gift:

First Name:

Last Name:

Address:

Address 2:

City:

State:

Zip Code:

Phone Number:
(like ###-###-####)

Email Address:
(like jsmith@example.com)

Method of Payment:

MastercardVISA

Discover card-holders, please call (217) 788-4700 to pay by credit card.

Credit Card Number:

Expiration Date:
(like ##/##)

Name on Card:

Check your information then click "Submit".

Contributions to the Memorial Medical Center Foundation are tax deductible as allowed by law.

You may mail this form to:

For more information, please call (217) 788-4700.

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Make a Gift

Make an Online Gift