Financial Gift Form

Did you know it costs approximately $85 to screen each teen not including needed medical equipment?
Your donation will go towards supporting the Heartbeat of Champions Foundation cardiac screening events, equipment, and SCA & CPR Education.

$ Donation Amount:

Choose Your Donation Amount:

Personal Info

First Name *

Last Name

Email Address *

Phone *

Keep my donation confidential *

I would like my tax-deductible gift towards? *

Repeat Monthly? *

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This is a secure SSL encrypted payment.

Billing Details

Country *

Address 1 *

Address 2

City *

State *

Zip / Postal Code *

Donation Total: $10.00

Financial Gift Form

Financial Gift Form

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