Workplace Giving Campaign Credit Card : Ways to Give : WAYS TO HELP : UM Capital Region Health Foundation

Giving Is Great Medicine:

Online Giving: Workplace Giving Campaign.

Thank you in advance for your generous support that allows us to make a difference in the lives of thousands of people and their families each year.

First Name

Last Name

Home Address

City

State

Zip Code

Phone

UM Capital Region Health Facility/Department/Area

I would like to contribute to one of the philanthropic funding priorities: (Optional)

If no program or service is selected, your gift will be applied to the area(s) of greatest need.

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$ Amount by Credit Card

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Make this a monthly payment?

Make this a monthly payment?

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged