Iowa Health Foundation
Donation Form
Your Generosity Makes a Difference!

Individuals of all ages and all incomes contribute to the Iowa Health Foundation. From the pennies we receive in our wishing well to generous estate gifts -- every gift makes a difference. Every Gift, no matter what size, is important.
2700 Grand Ave. Ste 109
Des Moines, IA 50312
(515) 243-3852
FAX: (515) 243-3872
Please fill out the Donation Form and Submit the form online.
Personal Information
Main Name
Date:
Thursday Apr 17, 2014 at 1:34:55 PM
Spouse Name
Street Address

City
State
Zip
Home Phone
Alternate Phone
E-mail Address
Company Information
Company Name
Company Contact Name
Does your company have a matching Gift Program?:
Yes No Not Sure
Street Address

City
State
Zip
Company Phone
Donation Information
I wish to
Donate online with a credit card
Pledge a Cash amount to be mailed
Before Submitting, Please check your information for accuracy and make sure you have completed the required fields.


Contributions to the Iowa Health Foundation are tax deductible to the extent allowed under IRS guidelines. For More Information, please call us at 515-243-3852.