Donate Online to the Rex Healthcare Foundation

Thank you for your interest in donating to the Rex Healthcare Foundation. Please fill out the form below and proceed to payment/billing info by clicking the Submit button.

Donation Information

* I wish to donate the following amount to the Rex Healthcare Foundation:

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I would like to make a convenient, recurring automatic gift in the amount specified above:
(Leave unchecked to make a one-time gift)
Please designate my gift as follows:

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Donation In Honor Of

Mail a letter on my behalf to the following individual:
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Donor Information

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* First Name:
* Last Name:
* Organization Name (if gift is made on behalf of a company):
* Address:
* City:
* State:
* Zip Code:
* Preferred Phone:
* Email Address:
How your name should be displayed in donor listings:
I prefer to make my donation anonymously:
My company will match my gift:
* Card Type:
* Cardholder Name:
* Card Number:
* Card Validation Code:
* Expiration Date (MM/YYYY): /
I would like to receive a copy of the "Inspire" newsletter in my mail:
I have included Rex Healthcare Foundation in my will or estate plan:
I would like to consider including Rex Healthcare Foundation in my will or estate plan:

Click the Submit button to enter billing & credit card information.

Online Donation to Rex Healthcare Foundation | 2500 Blue Ridge Rd, Ste 325 | Raleigh, NC 27607
(919) 784-4424 |

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