Foundation for Firelands

Donate Online

Thank you for your interest in supporting The Foundation for Firelands. To make your gift, please complete the following section. Donation amounts are always kept confidential. If you have any questions, please contact us at 419.557.7151.

Gifts to The Foundation for Firelands in support of Firelands Regional Medical Center are deductible for income tax purposes within the limits prescribed by state and federal laws.

* Denotes required fields

Personal Information

* First Name

M.I.

* Last Name

* Address

* City

* State Example: NY

* ZIP Code Example: 12345

Phone Example: 123-123-1234 x123

* Email

Make a Donation

* Donation Amount $0.00

Donation Designation

* Designate my gift to support

I would like to make this donation anonymously

Yes
No

Please list the donor(s) name(s) as

I would like to make this donation on behalf of (name of employee)

This gift is in memory of

This gift in in tribute to

The occasion is

Memorial/Tribute Gift Information

Please notify this person about my gift

Address

City

State Example: NY

ZIP Code Example: 12345

Additional Information

May we add you to our mailing list to receive publications, appeals for support, and event invitations?

Yes
No

Would you like information on volunteer opportunities at Firelands Regional Medical Center?

Yes
No

Would you like to share your experience at Firelands Regional Medical Center?

Yes
No

I am interested in information on how to include Firelands Regional Medical Center in my estate.

How to remember Firelands in your will.
Charitable estate planning with income and tax benefits.