Allina Health Foundation Priorities

Donation Options

One Time

Monthly

Donation Designation

Field Is Required Gift Designation:

Use my gift where it is needed most.

Direct my gift to:

If you selected Other, please tell us where you would like to designate your donation

Designation for Autoresponder

Yes, this is an honor or memorial gift

Honor Gift Type:

Honoree First Name:

Honoree Last Name:

Gift notification options

No Notification

Emailed Card

Notification Recipient Name:

Recipient Street Address

Recipient City

Recipient State

Recipient Zip Code

Message for the recipient

Yes, Send an eCard Yes, I would like to send an eCard.

Select an eCard:

Donation Ecard Stationery: Memorial Gift

Recipient email address(es):

eCard Subject:

eCard Message:

Yes, send me a copy of the eCard.

Billing Information

Title:

First Name:

Last Name:

Is Business Checkbox

Yes, this gift is on behalf of an organization or company

Business or Organization Name

Street 1:

Street 2:

City:

State/Province:

ZIP/Postal Code:

Phone Number:

Email Address:

Yes, I would like to receive communication from Allina Health Foundation.

Payment Method:

Credit CardBank Account

Credit Card Information:

Credit Card Type:

Credit Card Number:

Expiration Date:Select month of credit card Select Expiration Year

CVV Number: What is this?

Bank Account Information:

Bank Routing Number: What is this?

Bank Account Number:

Verify Bank Account Number:

Account Type:

Checking
Savings

I agree to use my bank account as a payment method and authorize Allina Health to debit my bank account to fulfill my donation commitment.

Check Information

Thank you!

Before we process your gift, may we ask a question?

We’re grateful for your generous support! Would you like to have an even greater impact? When you choose to make a regular monthly gift, you’ll make a deeper investment in our community’s health — including the health of your loved ones and you! Why not sign up right now?

Yes! I would like to become a

monthly donor.

No, thank you. Please process my

one‑time gift.

Finish 2024 on a high note and start 2025 off with 2x the hope

Your Gift Matters — Always