1 Amount 2 Name 3 Payment Donation Amount $500 $250 $100 $50 $25 Other Other Amount Make this a monthly donation. In Support of Caregiver Relief Fund Colors of Cancer Hospice Services Area of greatest need at Marcus Daly Memorial Hospital Dedicate this gift Make this donation - Select - In Honor of In Memory of His or Her Name Please send an acknowledgement to: (without specifying amounts, honorees will receive notification that a gift has been made in their name) Name Address City State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana International Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Zip Code Contact Information First Name Last Name Email For recognition purposes, how would you like your name(s) to appear? I would like my gift to be anonymous Billing Address Billing Address 2 City State Select Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana International Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, DC West Virginia Wisconsin Wyoming Zip Code Phone Number Billing Information Name On Card Card Type Select Visa MasterCard American Express Discover Card Number Security Code Expiration Date 010203040506070809101112/2020202120222023202420252026202720282029203020312032203320342035 Comments Spam Check The Internal Revenue Service recognizes Daly Hospital Foundation (DHF) as Section 501(c)(3) public charity on behalf of Marcus Daly Memorial Hospital (MDMH). Gifts to DHF are tax deductible in the U.S.A. No goods or services were forwarded or offered in exchange for this contribution. Donate Events View All Events prev next What Our Patients Say About Us "Corvallis Family Practice- is the most amazing clinic! I am so very thankful for all the amazing people that make CFP possible-I have the most complete and total confidence in all of you-thanks so much." - Anonymous "I have had very good Lab tests for over a year-nurse call to inform me the results and directions for change (if any) in meds and when to return for my next test. The lab tech does painless blood draw-always efficient (and) professional." - Anonymous "Overall, I felt well cared for as a patient of Dr. Calderwood. This includes the entire staff. I have and always will recommend him to anyone who is looking for an optometrist." - Anonymous Submit Yours Read All