CT Scanner

Your donation will support our community initiative to acquire a CT Scanner at WLMH.

Donor Information
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Donation Information
Donation Amount:
Payment Information
Total:
$0.00
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3-digit value located on back
Expiry:
Miscellaneous
Additional Comment(s):
Confidentiality

I understand that West Lincoln Memorial Hospital Foundation Inc. will keep my donation information I provided here confidential and agree that the Foundation may forward information or requests for donations in the future.

Donor Information