YES, I would like to become a Sustaining Friend of Tenwek Hospital
by making a recurring gift to Friends of Tenwek Inc.

Please complete this secure form to make a recurring gift.
Thank you for your support!  
* Required Fields
Your Recurring Gift
  Please use this gift: 
If this gift is a tribute to honor a special person, please complete the following section so we can send notice of your gift. If not, please proceed to the next section of this form.   
  Type of Tribute 
  In Honor/Memory Of 
  Please Notify: First Name 
  Last Name 
  Zip/Postal Code 

Donor Information
* First Name 
* Last Name 
  Company Name 
* Address 
* City 
* State/Province 
* Zip/Postal Code 
  Home Phone 
  Work Phone 
* Email (for confirmation of your gift) 

Payment Information
  Payment Options 

Credit Card Information
  Card Holder Name 
  Card Account Number 
  Expiration Date 
* Security Code  

Billing Address
  Same As Above 
* Address 
* Zip/Postal Code 

Privacy Policy
We keep the personal information you provided on this form private and secure.
We do not share your information with any third parties not affiliated with Friends of Tenwek.

Contact Us:
Friends of Tenwek, Inc.
6277-600 Carolina Common
Box 191 Indian Land, SC 29707
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