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STEP #2

STEP 2

4

spink county ambulance service and redfield ems

DONATE ONLINE NOW

FUNDING THE SPINK COUNTY AMBULANCE SERVICE

Date*

First Name*

Last Name*

Company Name (if a company should be recognized for the donation)

Address - Line 1*

Address - Line 2 (Apt., Unit, etc.)

City*

Zip Code*

State*

Phone Number (include area code)

Email Address*

I prefer to make this donation anonymously. (Your name will only be used to issue a donation receipt.)

CAMPAIGN NAME:

"FUNDING THE SPINK COUNTY AMBULANCE SERVICE"

4-Designate Where You Want Your "FUNDING SPINK COUNTY AMBULANCE SERVICE" Donation To Be Directed, i.e. Vehicles, Technology, Opioid Overdose Response, Scholarships, Life-Saving Equipment, Crucial Upgrades, Area Of Most Need:*

NOTE - If this donation is made in recognition of someone, please note their name and whether it is in honor of or in memory of the person in the space below.

Note The Person's First And Last Name, And Whether Donation Is In Honor Of Or In Memory Of:

**Please consider adding 3% to your donation to cover processing fees**

Adding 3% allows more of your donation to go directly to Redfield CMHC Foundation.

Donation Amount*

$25

$50

$100

$250

$500

$1,000

PERMISSION:

Select One*

I give permission for my name to be used on the Foundation's website in recognition of my donation.

I do not give permission for my name to used on the Foundation's website.

IF YOU DON'T RECEIVE AN EMAIL DONATION RECEIPT WITH THE FOUNDATION LOGO -

PLEASE CHECK YOUR SPAM FOLDER

CONTACT

Jessica Muellenberg

Executive Director

PHONE

(605) 475-7402

EMAIL

jessicamuellenberg@redfieldcmh.org

ADDRESS

PO Box 288
Redfield, SD 57469

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Donor Policy

Redfield CMHC Foundation Inc. is a registered 501(c)(3) nonprofit under

EIN 46-0433111. Donations are tax-deductible to the fullest extent allowable under the law.

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