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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! |
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Outstanding Employee Name |
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Next Tell us your story. |
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Do we have your permission to publish your story on social media e.g. Website or Facebook |
Yes No
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Donor Name As It Appears On Donator's Credit Card or Checking Account. |
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City, State, Zip Code Please Include Your City, State and Five Digit Zip Code. |
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Billing Address Address Where Your Credit Card or Bank Statements Are Mailed. |
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Telephone Number Please provide your area code and telephone number as indicated (i.e., 000-000-0000). |
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Amount of Your Donation Please Specify How Much You Are Donating. Please Use Dollars and Cents. |
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Your Email Address Please Provide An E-mail Address. |
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Credit Card Type Select If You Are Paying By Credit Card. |
Visa Mastercard |
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Credit Card Number Input The 16 Digit Number Just As It Appears On Card. |
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Credit Card Expiration Date Example: 00/00 |
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Security Code Please type the three-digit security code number that appears on the back of your credit card. |
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