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Tell us more about your donation

This questionnaire will help us understand the intentions behind your donation. You can tell us anything important, such as which hospital you would like us to give an electronic to, who should this donation be dedicated to, and what electronic would you like us to give. We truly appreciate every donation we receive, and we thank your for this very special donation

Thanks for submitting!

Customize Your Donation: Job Application


  • If you would like to supply the funds for your donation, please click the icon to proceed with the payment process

  • If you are unable to or would prefer we provide the funding, simply finish completing the questionnaire above and let us do the rest

Please allow 0-2 business days for us to process your request, we will get back to you once the donation is complete

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Customize Your Donation: Quote
High Fives

" We make a living by what we get. We make a life by what we give

Winston S. Churchill

Customize Your Donation: Quote
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