Mercy Health Foundation Clark & Champaign Counties

HOME
MERCY HEALTH FOUNDATION
Springfield, OH

Annual Fund Drive

YES! Please use my donation to help Mercy Health Foundation Clark & Champaign Counties to ensure everyone in my community – my friends, family and neighbors – has access to the best possible health care.

Your impact will go further by making a monthly gift today!

Select a Gift

Field Is Required Select Gift Amount:

$50

$100

$250

$500

$25

$35

$50

$100

Enter amount

Donation Type

ONE-TIME

MONTHLY

Select a Gift Duration:

Total Gift: 0.00

Field Is Required Gift Designation

Use my gift where it is needed most.

Direct my gift to:

Type in where to apply donation:

Yes, this is an honor or memorial gift

Honor Gift Type:

Honoree Title:

Honoree First Name:

Honoree Last Name:

Send Card

Yes, by mail

Yes, by email

Notification Recipient Title:

Notification Recipient Name:

Notification Recipient Street 1:

Notification Recipient Street 2:

Notification Recipient City:

Notification Recipient State/Province:

Notification Recipient ZIP/Postal Code:

Notification Recipient Country:

Send an eCard Yes, I would like to send an eCard.

Recipient email addresses:

eCard Subject:

Select an eCard:

Message Body:

Send eCard on:Select month of credit card Select Expiration Year

Month Day Year

Comments / Special Instructions

Donor Information

First Name:

Last Name:

Email Address:

Phone Number:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal code:

Country:

This gift is being made on behalf of a company.

Organization Name:

My billing information is different than my personal information.

Billing Details

First Name:

Middle Name:

Last Name:

Suffix:

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Country:

Date of Birth:

Month Day Year

My donation is anonymous. Please do not share my name and gift information in any physical location, online or printed materials.

Employee

I am a Bon Secours Mercy Health employee.

Yes, I would like to receive occasional emails from the Foundation.

Payment Details

Payment Method:

Credit Card

Check Information

Additional Amount:

I want to help even more by covering the 2% transaction fee.

Mitchell-Thomas Center
100 West McCreight Ave., Suite 200
Springfield, OH 45504
(937) 523-6670