Support for Children with Hearing Impairment  

Thank you for your gift.

Is this gift in memory of or in honor of someone? If so, please be sure to complete the Memorial and Honorary Gifts section at the bottom of this form.

 
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$ 250.00
$ 100.00
$ 50.00
$ 35.00
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Fundraising on behalf of the Children’s Hospital at Dartmouth (CHaD) is conducted by Dartmouth-Hitchcock Health, a 501(c)(3) recognized charity by the IRS (EIN#26-4812335), for the benefit of CHaD. Your gift will appear on your credit card statement as a payment to "D-HHealth Donation".
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Matching Gifts
Memorial and Honorary Gifts