Regional Health Services Foundation

How To Make A Donation

To make a gift or inquiry, please contact the Regional Health Services Foundation office at 563.547.2101, extension 2238. PDF Version

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Regional Health Services Foundation
Contribution Form

I/We would like to support healthcare in Howard County by making a contribution to the Regional Health Services Foundation.

Name _________________________________________________

Address _______________________________________________

City ___________________________ State _____ Zip _________

Enclosed is my donation of $_____________

___ I am interested in knowing more about planned giving opportunities.

___ I request that this gift be a memorial in honor of ____________________________

Please send an acknowledgement of this gift to:

Name _________________________________________________

Address _______________________________________________

City ___________________________ State _____ Zip _________

Additional acknowledgement to:

Name _________________________________________________

Address _______________________________________________

City ___________________________ State _____ Zip _________

Please send completed form to:
Regional Health Services Foundation
235 8th Avenue West
Cresco, IA 52136