Friends of the Foundation

The Friends of the Foundation are individuals, businesses and organizations who care about the health of the residents in our community and want to ensure the Mercer Health organization has the tools available to take care of our local healthcare needs by making annual donations.

The ongoing support of the Friends of the Foundation combined with the support of other donors of the community will allow the MED Foundation to further its mission of enriching Mercer Health’s ability to enhance the healthcare within our community. As a community anchor, Mercer Health remains focused on setting the pace for health in our community by providing quality and compassionate health care services, quality employment and strong economic support to the local community.

Thank you for your support of the MED Foundation!

YES! I want to become a Friend of the Foundation(Required)

Promise Club ($1,000)

Blue Wave ($500)

Green Wave ($250)

White Wave ($100)

Total Amount Billed:

Confirmation of Membership(Required)

Yes, I am authorizing my one-time annual donation for the amount specified above. I understand this is a one-time annual donation and I will be contacted to renew my annual donation as appropriate.

Membership Information

Name(Required)

First Last

Company Name (if applicable)

Please list exactly how you would like your name listed. For example, John Smith Family, John & Jane Smith, The Smith Family, John Smith & Jane Doe(Required)

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Credit Card(Required)

American Express

Discover

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

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