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Donate Online

I would like to make a tax-deductible gift of :
Please allocate this gift as follows :

Additional gift information
Type:
Name:
Description:


Please let us know where to send
the acknowledgement of the gift:

Personal Information

First Name:*
Last Name:*
Mailing Address:*
City:*
State:*
Zip:*
Primary phone :*
Secondary phone :
Email address :*

Please charge my donation to the following credit card

First name as it appears on card:*
Last name as it appears on card:*
Please charge my:
Card Number:*
3 Digit Security Code:*
Expiration Month:*
Expiration Year:*

(this is a secure transaction)

Paying by Check

Please make checks payable to "Copley Health Systems - Foundation" and send to:

Copley Hospital - Foundation/Development Office
528 Washington Highway
Morrisville, VT 05661

You can contact Leah Hollenberger, Senior Director of Development, Marketing and Community Relations, directly at 802-888-8301 or via email lhollenberger@chsi.org.

Thank you for making a difference to Copley and our community.

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