MS Patient Care and Research Fund

Thank you for supporting multiple sclerosis research and patient care at Dartmouth-Hitchcock’s MS Center through Hockey Fights MS. Your gift will help those living with MS today and in the future.

If this is a gift in memory of or in honor of someone, please complete the Memorial and Honorary Gifts section at the bottom of this form.

Donation Information

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Gift of

$ 250.00

Gift of

$ 100.00

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$ 50.00

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$ 35.00

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Fundraising activities on behalf of Mary Hitchcock Memorial Hospital (MHMH) is conducted by Dartmouth-Hitchcock Health, a 501(c)(3) recognized charity by the IRS (EIN#26-4812335), for the benefit of MHMH. Your gift will appear on your credit card statement as a payment to "D-HHealth Donation".

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Matching Gifts

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Memorial and Honorary Gifts

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