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Liberty Regional Medical Center

Liberty Regional Foundation Donation

Liberty Regional Foundation welcomes online donations from members of our community. There are various needs and programs that continually need support and funding. Please accept our thanks for your consideration and donations. To donate please scroll down the page and read the short directions.
The Liberty Regional Foundation, a non-profit charitable organization, would like you to know that we use your donation for important needs of the organization. You may donate by providing your credit or debit card information in the fields below. All payments are via secure server. Thank you for your support.
* Name
As It Appears On Donator's Credit Card or Debit card.
* Billing Address
Address Where Your Credit Card Statements Are Mailed.
* City, State, Zip Code
Please Include Your City, State and Five Digit Zip Code.
* Phone Number
Phone number where you can be reached.
  Your Email Address
Please Provide An E-mail Address.
* Amount of Your Donation
Please Specify How Much You Are Donating. Please Use Dollars and Cents.
* Credit Card Type
Select the correct credit or debit card.
Visa     MasterCard     AMEX     Discover    
* Credit Card Number
Input The 16 Digit Number Just As It Appears On Card.
* Credit Card Expiration Date
Example: 00/00
  Comments or Messages Related To Your Donation
Warning
Click the Submit button one time only. Do not double-click.