Donation Form
Donations to the Bingham Healthcare Foundation help fund vital improvements to our facilities. Because of you, we’re able to provide exceptional care to our patients and community.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Type of Donation
*
General Fund
Donation Amount
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( X )
USD
Description
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
ACH Bank Transfer
Comments
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