Donate *Cass Community Health Foundation

Thanks for your support.

Contributions to Cass Community Health Foundation strengthen our community in a number of ways. Every donation goes toward improving the health of Cass County and the surrounding area.

*DONATION INFORMATION

Donation Amount (Required)

Custom Amount

How would you like to designate your donation? (Required)

Is this donation in honor or memory of somone?

Please include the name of the person being honored or remembered.

First Name

Last Name

*YOUR INFORMATION

Name

First Name *

Last Name *

Email (Required)

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Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone (Required)

Credit Card Information

Cardholder Name (Required)

Credit Card # (Required)

Expiration Date (Required)

Security Code (Required)

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Make this a recurring payment?

Yes, charge me today and on the 25th of every following month.

Make this a recurring payment?

Cover the fee associated with this online transaction?

Yes, I will pay an additional {transaction_fee} so my entire donation goes to Cass Community Health Foundation.

Cover the fee associated with this online transaction?

Your total payment will be .

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

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