Liberty Hospital Foundation · HELP LIBERTY HOSPITAL FIGHT CORONAVIRUS

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We know many want to help Liberty Hospital as we face an extraordinary time in our community. The Foundation is committed to supporting our frontline staff as they care for the most vulnerable among us. Your supply donation will help us respond to rapidly-changing needs for staff, for those who depend on them in times of need, in addition to supporting to all the community resources the Foundation provides.

If you have questions completing this form, please contact foundation@libertyhospital.org.

To find our Amazon Wish Lists, please click on the links below:

Donor Information

Name *

First Name

Last Name

Organization/Employer

Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Email *

Verify Email *

Donation Information

Enter your supply donation type and desired drop-off method.

Supply Donation Type *

Please share additional information about your donation (example: type of donation item(s), number of donation(s), additional items you are curious to donate, etc.)

Supply donation drop-off *

Will your donation be coming directly from a manufacturer (example: Amazon) or will you be dropping it off in-person?

Manufacturer ships directly

In-Person drop-off

Drop-off date

Staff may contact you prior to confirming your drop off time if donation is able to be accepted.

What is the fair market value of your donation?

So that we can properly record your donation in our system, what is the total value of the item(s) you are donating?