Mackinac Straits Health Foundation

Giving Levels

Supporter ($1 - $249)

Sustainer ($250 - $999)

Patron ($1,000 - $4,999)

Guardians ($5,000 - $9,999)

Partners ($10,000 and above)

DONATION INFORMATION

Amount

*

$5,000

$2,500

$1,000

$500

$250

$75

$

Donation Schedule

ADDITIONAL INFORMATION

Anonymous:

I prefer to make this donation anonymously

TRIBUTE INFORMATION

Is this gift to honor or memorialize a family member or friend? Please provide their name as you would like it to apprear

This donation is

First/Last Name:

Please mail a tribute letter on my behalf to:

Name

First Name

Last Name

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

BILLING INFORMATION

Contact Information