St. Anthony’s Free Medical Clinic Fund

Designated Fund

Established by Kathleen Kostro, this fund was created to provide support to the Kosciusko County Free Clinic Inc, also known as St. Anthony’s Free Medical Clinic. The Clinic provides free medical services to Kosciusko County residents.

Type: Designated Fund

Instagram

This field is for validation purposes and should be left unchanged.

Donation Info

To view descriptions of funds, click here. This will open in a new browser tab so you can retain your filled form in this tab.

Select the Fund*

Donation Amount*

Personal Info

Your Name*

First Last

Is this donation on behalf of a company?*

Yes

Company Name*

Email*

Phone

Type of Phone Number*

Home

Cell

Work

Acknowledgements

Please list your name(s) below as you would like your name(s) to appear in any acknowledgement. Ie: you may want to include your spouse’s name or use a nickname.

Donate anonymously?*

Yes

Acknowledgement Name

Address

Street Address City State ZIP Code

Matching Gifts

You will receive an emailed receipt after you submit your donation. If your employer offers a matching gift program and you need additional documentation to share with your employer, please contact us at kcf@kcfoundation.org or by calling 574-267-1901.

Dedicate this Donation

Are you dedicating this donation?*

Yes, please

No, thank you

Dedication Type*

In Memory Of

In Honor Of

Honoree/Memoriam Name*

First Last

Would you like us to notify anyone of your donation?

Yes, please

No, thank you

Notification Name*

First Last

Notification Address*

Street Address Address Line 2 City State ZIP Code

Complete Your Donation

Donation Total

Payment Method*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Join Us in Strengthening Our Community

Explore how you can get started today.

Your involvement can make a lasting impact. Whether you’re interested in donating, establishing a fund, or participating in our events, there are many ways to contribute to the betterment of Kosciusko County.

Donate Now Start a Fund

Want to make a difference? Contact Us for Opportunities

St. Anthony’s Free Medical Clinic Fund

Designated Fund

Make a Donation

Donation Info

Personal Info

Acknowledgements

Matching Gifts

Dedicate this Donation

Complete Your Donation

Join Us in Strengthening Our Community

Get Involved and Make a Difference

Explore how you can get started today.