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Donors can mail a check or money order at any time to the following address:
Matagorda Regional Medical Center Foundation
1115 Avenue G
Bay City, Texas 77414
Attention: Marketing & Fund Development

Together, we can make a difference!

Donor name:_________________________________

Address:________________________________________________________________________________


City:_______________________________________________

State: ___________________

Zip: ______________________

Annual Gift:

□ $100 □ $250□$500□ $1,000 □ $2,500□ $5,000Other______


The donation is
□ In Honor □ In Memory

Send acknowledgment letter to:

Name:_________________________________

Address:________________________________________________________________________________


City:_______________________________________________

State: ___________________

Zip: ______________________


Return this form to:

Matagorda Regional Medical Center Foundation
1115 Avenue G
Bay City, Texas 77414
Attention: Marketing & Fund Development