Lend a Helping Hand

General Fund Donation Form

Which fund would you like to donate to?
Donor Information
Name*
First Last
Phone Number*
Email*
Home Address*
Street Address Address Line 2 City State ZIP Code
Payment Details
Please charge the following gift to my card:*
Total
$0.00
Credit Card*

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
Honors & Memorials
Please indicate if this gift is offered in tribute to a person:
- In memory of
- In honor of
Name of the person being acknowledged:
Please send acknowledgment to:
First Last
Acknowledgment Recipient Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Baptist Hospitals of Southeast Texas Foundation is a 501 c 3 as designated by the IRS.
All contributions will be acknowledged for tax purposes.