One-Time Donation

Thank you for considering a donation to The Chippewa Valley Health Cooperative. Your gift will support our efforts to provide excellent community-based healthcare services to the residents of the 18-county Chippewa Valley Region.

Fill out the form below to make a one-time donation.

Enter Donation Amount(Required)

$25.00 miniumum

Donor Name(Required)

First Last

Email(Required)

Phone(Required)

Billing Address(Required)

Street Address Address Line 2 City State ZIP Code

Handling Fee

Price:

Credit Card(Required)

Cardholder Name

Card Details

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