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You may donate any dollar amount to MPHA using the secured form below. We appreciate your support!
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Donation
*
Mandatory fields
*
First name
*
Last name
*
Personal Email
*
Cell Phone
*
Home Address
*
City
*
State
*
ZIP
*
Donation Amount ($USD)
Option 1
$25.00 (USD)
Option 2
$50.00 (USD)
Option 3
$100.00 (USD)
Option 4
$200.00 (USD)
Option 5
$500.00 (USD)
Please select your preferred donation amount, or enter a custom amount that you wish to contribute. All donations will support the Mississippi Public Health Association's Advocacy Fund. Donations are tax-exempt. A receipt will be e-mailed.
Payment frequency
One-time
Monthly
Quarterly
Semi-annually
Annually
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