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Thank you for your gift of gratitude to the

Carris Health COVID-19 Emergency Fund

Gifts given to this fund will be used to:

Purchase COVID-19 supplies and medical equipment
Provide meals for staff who will remain on campus to provide care
Meet other high priority needs identified to support the direct care of COVID-19 patients and others in our community

Your COVID EMERGENCY FUND Gift of Gratitude

Donation Amount:

I would like to remain anonymous:

Yes

My gift is designated for:*

Carris Health - Rice Memorial Hospital and Carris Clinics
Carris Health - Redwood Falls

Caregiver/Department/Unit you wish to honor (include first and last name and service location):

Contact Information

Company:

First Name:*

Middle Name:

Last Name:*

Address:*

Address2:

City:*

State:*

Postal Code:*

Country:*

At least one phone number is required.*

Mobile Phone:

Home Phone:

Email:*

Credit Card Information

Card Types Accepted:
Visa

Credit Card Number:*

Card Security Code:

Expiration Date:*

Electronic Signature:*

I agree to pay above total amount according to card issuer agreement. Once the transaction has completed successfully, a confirmation receipt will be sent to the email address entered.

Your COVID EMERGENCY FUND Gift of Gratitude

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