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2024 HFT
Hospital Fund Drive
Donation Amount
$50
$100
$250
$500
Other
Other Amount
I would like to donate to (Please choose one)
*
Texas First Ladies' 2024 Project
Hospital Fund (In Honor or Memory of, please put in comments)
Virtual Fall Hospital Fund
Donor Information
Name
*
First
Last
Email
*
Phone
Comments
Payment Details
Billing Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
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
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credit Card
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
Expiration Date
Security Code
Cardholder Name
If you would like to cover all transaction fees so 100% of your donation goes to Shriners Hospitals for Children please check the box below
I would like to donate an extra 3% to cover the service charge / fees.
Additional Amount to Cover Service Charges
Price:
$0.00
Total
$0.00
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