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Fulton County Medical Center

Donation

By giving to the FCMC Foundation, you are making an investment in your community's health. Your gift helps us provide the highest quality of care to our patients and make the broadest possible impact on health care in our community. The FCMC Foundation, founded in 2008, is a non profit corporation as provided under Section 501 (c)(3) of the Internal Revenue Code. Your generous contributions to FCMC Foundation are tax deductible in accordance with state and federal law.
* Designation:
  Additional Info:
* First Name:
* Last Name:
* Street Address:
* City:
* State:
* Zip Code:
* Phone:
  Email Address:
Billing Information
* Cardholder First Name
The first name of the account holder as it appears on the credit card.
* Cardholder Last Name
The last name of the account holder as it appears on the credit card.
* Amount of Payment
Format: 45.67 (Include decimal and cents. Do not use a dollar sign.)
$
* Card Number
* Expiration Date
* Card Code Verification Number
The three digit number on the back of your card. (Four digit code on the front of American Express.)
* Billing Postal or Street Address
* Billing City
* Billing State
* Billing Zip Code
5 digit zip code