One moment please...
Fee-For-Service/Shipment Related Fee
Shipment Destination Country
*
Amount
*
$100
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Organization Name
*
Name
*
First Name
Last Name
Email
*
Verify Email
*
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Check here if you'd like to opt out of our e-newsletter
Opt-out
In an environmental effort to reduce paper usage, MedWish donors have the option to receive thank you letters/donation receipts via email or hard copy. Please select which manner you would prefer to receive your donation acknowledgement.
*
select one
Email
Paper
I'd like to cover the 3% fee associated with my payment so more of my contribution goes directly to MedWish
