Making A Gift to Billings Clinic Foundation

Thank you for your interest in supporting Billings Clinic Foundation. Whether you desire to direct a gift to a specific area of need or make a gift in memory of someone, your tax-deductible gift will help us provide the best care for every patient. To give online, please complete the following form.

Donation Information

Amount: $500.00
$250.00
$100.00
$50.00
$

Designation: Please direct my gift to the area of greatest need in:

If Other please specify:  
Your Information

First Name
Last Name
Address
Address 2
City/State/Zip    
Home Phone
Work Phone
Cell Phone
Email
Payment Information

Name as it appears
on credit card
Credit Card
Card Number
(Numbers only, no spaces or dashes)
Security Code   What's this?
Expiration Date  / 
Memorial/Honorarium Information

If you choose, you can designate your gift in memory of a loved one or in honor of a friend, relative, doctor, teacher, or special occasion.
In honor of
In memory of None
Name:
Would you like Billings Clinic Foundation to send a letter acknowledging your gift, without mention of amount, to a specific person?
Yes No
Anonymous Donation

I prefer to make this donation anonymously.
Yes No
 
   
 
Click on "Submit" once. Depending on your internet service and computer's capacity, the response could be delayed. (Clicking more than once will result in multiple submissions to your card.) Once submitted, you will receive a confirmation email. If you do not receive a confirmation email, call Billings Clinic Foundation at 406-657-4670 or 1-800-332-7156, Monday-Friday, 8 a.m.-5:00 p.m. and confirm with our staff that your transaction was received. Thank you.


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2800 10th Avenue North  |  P.O. Box 37000  |  Billings, Montana 59107  |  406.238.2500
© Copyright 2006-2007 Billings Clinic. All Rights Reserved.

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