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
State__________ Zip_____________
Daytime Phone________________________________

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
© 2005-2020     Developed, Managed & Donated by Dr. Bill Smith, Agora Associates