Printable Contribution to Donate to the Mountain Home Christian Clinic - providing health care and spiritual support to low income families in the Ozark Mountains

Please Print this Donation Form and Mail With Your Contribution
MHCC is an IRS Approved 501(c)(3) tax-exempt organization.
All Contributions are Tax Deductible to the extent of the law.

Yes I want to support the MHCC
Name_________________________________________________________________
Address______________________________________________________________
State__________ Zip_____________
Daytime Phone________________________________
Email________________________________________

Please make checks payable to the Mountain Home Christian Clinic.
For memorial or honor gifts, complete this section: My Gift is [__] in memory of or [__] in honor of
Name __________________________________________________

Print this page and mail your check and the above form to:
Mountain Home Christian Clinic
421 West Wade St.
Mountain Home, AR 72653

Mountain Home Christian Clinic, Inc. 421 West Wade St., Mountain Home, AR 72653 (870) 425-5010
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