BHA Telethon: submit your pledge on-line!

Bermuda Health Alliance

SUBMIT YOUR PLEDGE ONLINE!

Fill in the information below (Note: only the 2nd Contact number is optional).
Then click the "Submit Your Pledge" button.
The information you provide will be used only for this fundraising.
You will receive no unsolicited phone calls, mail, or email.

Your Name:

Apply my Donation to:

Email Address:

BHA General Fund
(supports all members)

	Bda Diabetes Association
	Bda Heart Foundation
	Bda Hospitals Board
	Open Airways
	Residents' Fam Council

Main Contact Number:

2nd Contact Number:
(optional)

or enter another amount:

Make my Pledge Anonymous? Yes No

Thank you for your generosity!

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