Givsum | Opportunities Lafayette General Health System Inc General Donate

All Results

All Results

Lafayette General Health System Inc: General

Donation

$50 $100 $500 $1000

Add Custom Amount

I wish to donate more so that Lafayette General Health System Inc receives the full amount of my purchase after fees.

I would like to make this an anonymous donation.

I would like to make this donation as a tribute to someone.

Tribute

First Name*

Last Name*

I would like to notify the following person of my donation.

Email Address*

Choose a Frequency

One TimeMonthlyQuarterlyAnnually

Add a dedication or comment to inspire others

This will display in the "Comments" section of the Opportunity page

Opt-in to receive future text notifications regarding this donation/purchase and organization*

Information

First Name*

Last Name*

Email Address*

Mobile Phone Number*

Street*

Apt, Suit, or Unit (optional)

Country

City*

State

ZIP Code

This gift is being made on behalf of a business or organization.

Business or Organization Name*

Add an invoice note

Payment

Credit/Debit Card

Credit card information completed

Please check your credit card information

Lafayette General Health System Inc has not yet activated their merchant account on Givsum. Your donation will go to the GIVSUM Foundation who will issue a check to Lafayette General Health System Inc (less applicable fees) as a grant within 30 days. You will get a tax receipt for the full amount of your donation from the GIVSUM Foundation, which you may use for your tax purposes. Learn More

About Us

Blog

User Agreement

Contact