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Bacon County Hospital Logo

Thankful Patient Program Donation

Donate in honor of an outstanding worker!
The proceeds from this program will benefit the Bacon County Hospital Foundation which operates exclusively for charitable purposes to support future building projects and needs-based equipment purchases.
Please accept our thanks for your consideration and donation. Should you have questions contact the Foundation Department at 912-632-8961 Ext 1092.
All payments are via a secure server. Donations are tax deductable.



The Bacon County Hospital Foundation would like you to know that your donations are carefully used for important needs of the hospital system. By making a donation you also increase our ability to provide for the health care our community deserves. You may donate by providing your credit card information in the fields below. All payments are via secure server.
Thank you for your support!
  Outstanding Employee Name
  Next Tell us your story.
  Do we have your permission to publish your story on social media e.g. Website or Facebook Yes
No
* Donor Name
As It Appears On Donator's Credit Card or Checking Account.
* City, State, Zip Code
Please Include Your City, State and Five Digit Zip Code.
* Billing Address
Address Where Your Credit Card or Bank Statements Are Mailed.
  Telephone Number
Please provide your area code and telephone number as indicated (i.e., 000-000-0000).
* Amount of Your Donation
Please Specify How Much You Are Donating. Please Use Dollars and Cents.
  Your Email Address
Please Provide An E-mail Address.
  Credit Card Type
Select If You Are Paying By Credit Card.
Visa     Mastercard    
  Credit Card Number
Input The 16 Digit Number Just As It Appears On Card.
  Credit Card Expiration Date
Example: 00/00
  Security Code
Please type the three-digit security code number that appears on the back of your credit card.