Make a Donation

Information/Gifts for Baptist Health Foundation
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Please send me
information on:

Current areas of need
Nursing Scholarships
Allied Health Scholarships
Endowment Gifts
How I can make a gift and receive lifetime income
How I can remember BAPTIST HEALTH in my will
Giving securities
Giving real estate
Giving through life insurance
Estate planning

Gifts:
If making donations by check, please print this form and mail it to the address below along with your check. Please make checks payable to BAPTIST HEALTH Foundation.

Mail to:
BAPTIST HEALTH Foundation
9601 Interstate 630, Exit 7
Little Rock, AR 72205-7299
Credit Card Information
Type of card: VISA
MASTERCARD
DISCOVER
Credit Card Number:
Security Code: (3 to 4 digit code found on back of card)
Expiration Date: mm yy
Name on Card:
Amount Being Donated (in dollars):

You may select the area you wish to support

Where most needed in current areas of emphasis
Stroke Initiative
Heart Program
Hospice
Nursing & Allied Health Scholarships
Endowment
Other Area (please specify)

You may select a facility to receive your support

BAPTIST HEALTH Medical Center (Little Rock)
BAPTIST HEALTH Baptist Memorial Medical Center (North Little Rock)
BAPTIST HEALTH Rehabilitation Institute
BAPTIST HEALTH Medical Center Arkadelphia
BAPTIST HEALTH Medical Center Heber Springs
Parkway Village (Retirement Community)
BAPTIST HEALTH Schools of Nursing and Allied Health
Please indicate if your gift is in memory or honor of someone. In Memory Of
In Honor Of
Neither
If your gift is in memory of someone, please indicate their name:

If your gift is in honor of someone, BAPTIST HEALTH will send an acknowledgement to them at the address indicated below. Please fill out all fields.

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