Athens Regional Health System
706.475.7000

Donate

Thank you for choosing to support the Athens Regional Foundation!

* Indicates required information
Name of Donor (and spouse, if applicable) * 
Address (Street, City, State, Zip) * 
Phone * 
E-mail Address * 
Gift Amount * 
Card type: * 
Name on Card * 
Card Number * 
Expiration Date *  Month Year
Last 3 Numbers on back * 
I would like my gift to be anonymous 
Is your gift a pledge payment? 
Designation for your gift and any comments:  * 
Gifts of Tribute 
Memorial & Honorary Gifts 
In Memory of Name 
In Honor of Name & Occasion  
Please send gift notification (amount not disclosed) to: 
Name 
Address (Street, City, State, Zip) 
Message for notification 
Please send me more information about giving opportunities for Athens Regional Foundation 
 
WomenCertified award     U.S.News and World Report Best Hospitals     Consumer Reports     Georgia Alliance of Community Hospitals     Chest Pain Center Accreditation