Scotland Memorial Foundation

Scotland Healthcare

Where would you like to direct your gift?

* Direct My Gift To

Unrestricted

Scotland Cancer Treatment Center Patient Assistance Fund

Scotland Cancer Treatment Center Tree of Life

Henley’s Heart Fund for Cardiopulmonary Rehabilitation

Charles L. Hicks Jr. Memorial-Cardiovascular Patient Assistance

Wound Healing Center Patient Assistance

Community Health Programs

Foundation Endowment

Putting on the Ritz – A Gala of Giving Event Sponsorship (For Event Registration see event page)

FUNd Run-4-Life Event Sponsorship (For Event Registration see event page)

Women’s Health Event Event Sponsorship (For Event Registration see event page)

Other

How much would you like to contribute?

* Amount of Gift

$25.00

$65.00

$100.00

$250.00

$500.00

$1000.00

$2500.00

Other

Optional Is your donation in honor or memory of someone special? Choose memorial gift only if the person you are honoring is deceased.

Honor or Memorial?

None

Honor

Memorial

Name of Honoree

Optional Acknowledgment Notification (Name and address of person to receive acknowledgement)

Name

Address

City

State

Zip Code

Please enter your information so we can process your donation.

* Name

* Address

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* eMail

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For questions or comments, please call the number listed at top of this page, Thank You.

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