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Secure Online Donation Form

Donations of at least $1,000 are eligible to use our Community Investment Tax Credits for a 50% rebate on your gift when you file state taxes! And please find out if your employer will match your donation. THANK YOU!

Amount

$1,000

$500

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$100

$50

Donation Schedule -- Please Consider Making Monthly Gifts!

Optional Note to HCA

Contact Information

Name

First Name

Last Name

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Address

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City

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If your gift is in honor or memory of a loved one, please share name of person being honored or remembered

First Name

Last Name

If you would like HCA to send an acknowledgement to another party for a gift in honor or memory, please provide name and address:

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