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Mercy Willard Hospital Foundation
Gift Giving Form

For over 75 years, Willard has been blessed with a community hospital. The mission of Mercy Hospital of Willard is to extend the healing ministry of Jesus by improving the health of those in our communities. The Mercy Willard Hospital Foundation exists to develop relationships and generate financial resources to support the mission of Mercy Hospital of Willard.

The Mercy Willard Hospital Foundation is a nonprofit charitable organization dedicated to providing financial resources to Mercy Hospital of Willard. Gifts made to the Foundation are tax deductible and are designated for capital expenditures and other donor designated projects that support Mercy Hospitalís mission and values.

If you are interested in giving a gift to the Foundation, please fill out the form below.

Please designate my gift to the fund marked below: Scholarship Fund
Developmemt Fund
Wherever the need is greatest
I wish to donate $
Please keep my gift anonymous
Payment Method: Check
Cash
Credit Card
Name
Address
Address 2
City
State
Zip
Phone Number () -
Email Address
The Puzzle Board recognizes individuals who have made contributions to the Foundation. The amount donated determines the color of the puzzle piece:
  • $500 - $999 (Green Puzzle Piece)
  • $1,000 - $4,999 (Yellow Puzzle Piece)
  • $5,000 to $24,999 (Red Puzzle Piece)
  • Over $25,000 (Blue Puzzle Piece)
I am interested in a puzzle piece for the puzzle board

To arrange an appointment or for more information about purchasing a puzzle piece, please call 419-964-5107.

Leave a Legacy
I am not interested in leaving a legacy.
I have included Mercy Willard Hospital Foundation in my estate plans.
I would like to include Mercy Willard Hospital Foundation in my estate plans, please let me know how I can leave my legacy.