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2026 Gala Donation

Please fill out the below form to make a donation to the 2026 Gala.  All donations will benefit programs and services at Methodist Fremont Health.


Donation Amount
Please type in your selected donation amount.
$

Your Information
First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *

Comments
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Credit Card Information

cardholders
Your security code is the 3-digit code at the end of the signature field on your card's back.

Cover the fee associated with this online transaction?
Cover the fee associated with this online transaction?
Your total payment will be .
Your credit balance will cover
Your credit card will be charged
Your bank account will be charged

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