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As a 501(c)(3) not-for-profit charity, St. Luke Hospital Foundation welcomes online donations from members of our community.
Gifts made to the Foundation are used solely for the benefit of St. Luke Hospital and Living Center and its programs and services.
Please accept our thanks for your consideration and donations.
All information is secure and confidential.
To complete your gift, please scroll down the page and read the short directions. |
Gifts may also be made over the phone using a credit card. Please contact Michael Perigo, Business Development/Foundation Director, at 620-382-2177 extension 219.
You may make a secure online gift using your credit card or a direct electronic funds transfer from your bank account (financial institution routing number and bank account number are required).
Please only supply one set of payment information, that is, your credit card info or your online check information. All payments are via secure server. Thank you for your support. |
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Name
As It Appears On Your Credit Card or Checking Account. |
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Billing Address
Address Where Your Credit Card or Bank Statements Are Mailed. |
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City, State, Zip Code
Please Include Your City, State and Five Digit Zip Code. |
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Your Email Address
Please Provide An E-mail Address. |
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Amount of Your Donation
Please Specify How Much You Are Donating. Please Use Dollars and Cents. |
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Method Of Payment
Please Check One. |
Credit Card Online Check |
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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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3 Digit Security Code
On back of card |
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Name Of Your Bank
If Paying By Online Check, Please List The Local Bank Hosting Your Checking Account. |
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Routing Number
A Nine Digit Number Found At The Bottom Left Corner of Your Check. Please Phone Your Bank If You Are Unsure. |
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Checking Account Number
The Entire Series of Numbers Just to the Right of the Routing Number in the Lower Left Hand Corner of Your Check. Please Phone Your Bank If You Are Unsure. |
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Check Number
Make Sure You Note The Check Number Then Void The Check. |
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Comments or Messages Related To Your Donation
If your gift is a Memorial or Honor Gift, please indicate as such and the name of the person being memorialized or honored. If you wish to have a notification sent to a family member, please provide name and complete mailing address with ZIP code. |
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