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Donation Form for Gifts of Tribute

This is a one-time memorial/honorarium contribution to support South Georgia Medical Center's Gifts of Tribute program.

 

 We only accept Visa or Mastercard for our Online Donation Forms.

Please provide information below as it is listed on your credit card.

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(Ex. 120.00) *  

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Recognition Information

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(as you would like it to appear for recognition purposes, i.e. Mr. & Mrs. John Smith)


Gifts of Tribute Information



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Send Acknowledgement of my gift to the designee below:

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