Marillac Donation Form

Help people feel better!

Your tax-deductible donation makes medical, dental, and behavioral care affordable and available for others in our community. Thank you for your support! MarillacHealth’s EIN: 84-1085822

All donations directly impact our organization and help us further our mission.

$ Donation Amount:

I'd like to help cover the transaction fees of 0 for my donation.

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Who's Giving Today? - We’ll never share this information with anyone.

Recurring donations will be automatically charged to your choice of payment by credit card, below. To set up an ACH transfer from your bank account to Marillac's, call our Development Department at 970-200-1628.

Personal Info

First Name *

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I would like this gift to remain anonymous.

Capital Campaign to Build a New Health Center Student Health Center at Grand Junction High School Let Marillac decide how to use my funds

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I would like the Colorado Enterprise Zone Tax Credit Not necessary

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I would like to learn more about the Colorado Enterprise Zone Tax Credit

Learn About Tax Credit.

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Here's what you're about to donate:

Donation Summary
Payment Amount
Giving Frequency Consider making this donation	One time
Cover Donation Fees Ensures 100% of your donation reaches our cause	{fees}
Donation Total

Donation Total: $100.00 One Time