Foundation

Online Donations

Thank you for considering a gift to Northeast Iowa Family Practice. Your support will help enhance the educational activities of the Northeast Iowa Medical Education Foundation.
Click here to learn more about the memorial funds.

After completing your information, click on “Next” to enter your credit card information on our secure form. You will be notified that your information was submitted.

Northeast Iowa Family Practice is a 501 (c) 3 nonprofit organization. All donations are tax deductible to the fullest extent of the law.
Thank you.

  *Required field
First Name*  
Last Name*  
Address*  
Address
City*  
State*
Zip Code*  
Phone
Email*  
Used for receipt delivery purposes only.
My gift is

Name of person

Please notify the following individual of my gift (the amount of your donation will not be disclosed).
Name
Address
City
State
Zip Code

Gift Amount *  
 
(Do not enter dashes or spaces.)    
/    
Name on card*  
Instructions or Other Information

 
(Please verify payment and credit card information before submitting.)