Kimball Hospital Foundation Donation Form

The Kimball Hospital Foundation welcomes online donations from members of our community. The Foundation is a 501(c)3 public charity and donations are tax deductible as allowed by law. There are various needs and programs that continually need support and funding. Please accept our thanks for your consideration and donations.

To donate please scroll down the page and read the short directions. Starred fields are required. All information will be kept secure and confidential. For more information or to make a donation, call the Foundation office at (308) 235-1967. The Foundation carefully uses your donation for important needs of the hospital. All payments are via secure server.

Thank you for your support!

Full Name (as it appears on your card)*

First NameLast Name

E-mail*

Phone Number*

Address (where your credit card statements are mailed)*

Street Address

Street Address Line 2

CityState

Zip Code

Donation Amount - Please specify how much you are donating. *

Comments

If this donation is for the Holiday Spirit Campaign, enter names here

Secure Donation

USDEnter the amount you wish to donate

Credit Card

Change a Life. Donate Today!

Credit Card