ON LINE DONATION FORM
HealthFirst Family Care Center, Inc. greatly appreciates the generosity of all who support our Federally
Qualified Health Center. Your donations are tax deductible to the extent allowed by law.
I would like to make a gift of $_______________ to HealthFirst Family Care Center, Inc. to support:
_____Operations _____Walkathon
Specific HealthFirst program: ___________________________________________________
Donor Information
Name: ________________________________________________________________________
Street Address: ________________________________________________________________
City/State/Zip: _________________________________________________________________
Email Address: _________________________________________________________________
Telephone Number: _____________________________________________________________
You may also go online to www.healthfirstfr.org/donate.html and select the PayPal option.
Please make checks payable to: HealthFirst Family Care Center, Inc.
Mail to:
HealthFirst Family Care Center, Inc.
Att’n: Marketing & Development Department
387 Quarry St, Suite 100
Fall River, MA 02723
We sincerely thank you for your generosity. A statement confirming your donation for tax purposes will be mailed to you.