Third Street Clinic Online Donations

Thank you for your interest in Third Street Clinic.  To make your gift, please complete the following sections and click the donation button.  If you have any questions, please contact us locally at (701) 772-1263 .

Information needed to process your gift is marked with an (*).

*This gift is from the  following people:

This gift is in memory of

This gift is in honor of

The occasion is

Please notify this person about my gift.  The gift amount is kept confidential.

Their: Address
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We would like to add you to our mailing list to receive publications, appeals for support, and event invitations.

Personal Information

*Name:

*Address:

*City:

*State:

*Zip:

  

*Telephone:

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Providing health care and referrals to enhance the well-being of the community.

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