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Donate Online

Welcome to the Touchstone Society Online Giving Form

The Touchstone Society is a unique VIP donor club that provides benefits as a way of showing appreciation to special friends and contributors to the Jackson Hospital Foundation.

Membership is on an annual basis. Benefits apply to the various levels of giving, to learn more about the levels and their benefits, click here.

Prefix:

*First name:

*Last name:

*Street Address:

*City:

*State:

*Zip Code:

*Telephone:

*Email:

Desired level of giving:

Friend ($100–$249) Associate ($250–$499) Patron ($500–$999) Benefactor ($1,000–$2,999) Heritage ($3000+)

*Total amount you wish to donate (Example 150.00):

I do not wish to join the Touchstone Society at this time, but I would like to make a tax-deductible donation.

Payment Information

*First name on card:

*Last name on card:

*Payment type:

*Credit card number (no spaces or dashes):

*Expiration Month

*Expiration Year:

*Billing Street Address:

*City:

*State:

*Zip:

*What prompted you to donate?

If other, please explain:

In Memory of:

In Honor of:

Name and address of person you would like notified of your gift:

Additional comments:

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