Donate | Livingston Health Services

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Amount

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Name

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Payment

Donation Amount

- $90
- $60
- $30
- Other
Other Amount

In Support of
Make this donation
His or Her Name
Please send an acknowledgement to:
(without specifying amounts, honorees will receive notification that a gift has been made in their name)
Name
Address
City
State
Zip Code

Contact Information

First Name
Last Name
Email
For recognition purposes, how would you like your name(s) to appear?
I would like my gift to be anonymous
Billing Address
Billing Address 2
City
State
Zip Code
Phone Number

Billing Information

Name On Card
Card Type
Card Number
Security Code
Expiration Date
/
Comments
The Internal Revenue Service recognizes Livingston Healthcare Foundation as Section 501(c)(3) public charity. Gifts to Livingston Healthcare Foundation are tax deductible in the U.S.A. No goods or services were forwarded or offered in exchange for this contribution.

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For assistance, or to make a gift by phone, please contact the Foundation
at (406) 823-6710