Donate to The Foundation

You can change lives with your gift and make a difference, today! Donate to the Foundation today using the form below, or download the PDF below and donate via mail.

PHCF Donation Form (295 KB)
Plumas Health Care Foundation Donation Form

Online Donate Form

Please complete the form below. After you press the submit button, you will be taken to a page that will allow you to process your payment.

* Required

Title

First Name *

Last Name *

Email Address *

Billing Address *

City *

State *

Zipcode/Postcode *

Country *

Home Phone Number

Work Phone Number

Cell Phone Number

I would like to make a contribution of $

I would like this donation to be allocated to (please select one):
The area of greatest need
Special Project

Details of special project:

Recognition
Please recognize my gift in the name listed below:
I would rather be recognized as Anonymous.
This is a Memorial / Tribute gift honoring the person below:

Enter recognition information (your name, etc) If you are recognizing someone else, please include name and address of person you want to recognize (if applicable).

Is it ok to notify this person of the gift?

Honoree's mailing address

Payment Method -- Note: Cash or check donations can be mailed to Plumas Health Care Foundation 1065 Bucks Lake Road Quincy, CA 95971 *
Cash
Check
Credit Card (Enter Info after submit)

Prove you're not a robot *

Contact PDH: 530-283-2121

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Donate to The Foundation

Online Donate Form