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:






If Other, please specify:

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:




If Other, please specify:

Please tell us how you heard about us:





If Other, please specify:

Donation In Honor Of

Name:
Dedication:
Mail a letter on my behalf to the following individual:
Name:
Address:
City:
State:
Zip Code:

Donor Information

* Prefix:



* 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 | rex.foundation@rexhealth.com

This page is displayed via a secure connection that can be confirmed by noting the ?https? prefix in the URL and, in Internet Explorer, by appearance of a Secure Sockets Layer (SSL) padlock icon in the browser status bar at lower right. Any information you exchange with this site is protected from view by other Internet users. Any e-mail addresses you enter may be used to send you a verification message, but such addresses will not be used to request personal information of any type nor will any contact details be shared with other companies. See the Rex Healthcare Foundation?s Privacy Statement for more details. Rex Healthcare Foundation uses industry-standard encryption technologies when transferring and receiving payment data. If you have questions regarding this page, please contact us for more information.