Jefferson County Health Center Foundation, Inc.

Jefferson County Health Center welcomes online donations from members of our community. As a 501(c)3 non-profit organization, gifts to the Jefferson County Health Center Foundation, Inc. can provide numerous tax savings opportunities. Consult your tax advisor or attorney for specific benefits.

We will be happy to provide additional information on your desired method of expressing encouragement and support of Foundation activities. Write or call today. Our services are available without cost or obligation. Our responsibility is to be of assistance to you, so please contact us to discuss your thoughts or questions. All information will be kept secure and confidential.

For more information on membership or to make a donation you may also call our business office. We are a non-profit organization.

We want you to know that our healthcare facility carefully uses your donation for important needs of the hospital. You may donate by providing your credit card information or by submitting your bank account routing number and checking account number in below fields. Please only supply one set of payment information: your credit card info or your online check information. All payments are via secure server. Thank you for your support.


Donor Information

Name *

Please enter your full name.
Organization

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Address *

Please enter a valid street address
Apt/Suite/Unit

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City *

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State *

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Zip *

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Phone *

Please enter a valid phone number including area code (e.g. 123-45-6789)
Email *

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Donation Information

Amount *

Please select a donation amount.
Apply to Endowment Funds for Perpetual Opportunities? *

Please specify Yes or No.
Send Additional Information on the Foundation and Foundation Activities? *

Please select Yes or No.
Comment(s) Related to Your Donation

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A summary of your donation information is shown below. If you need to make changes, use the Update Donation Information button at the bottom of the page. If the information is correct, fill out the credit card information and submit your donation using the Submit Your Donation button.

Donor Information


Name:
Organization:
Address:
Apt/Suite/Unit:
City:
State:
Zip:
Phone:
Email:

Donation Information


Amount:
Apply to Endowment Funds for Perpetual Opportunities:
Receive Additional Information about the Foundation:
Comment:


Credit Card Information


Credit Card Number *

Please enter a valid credit card number.
CSC (What's This?) *

Please enter the CSC code from your credit card.
Expiration Month *

Please select a month.
Expiration Year *

Please select a year.
Name on Card *

Please enter the name as it appears on the card.
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  Refresh Code
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Contact Us

2000 South Main Street
Fairfield, Iowa 52556
(641) 472-4111

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