Name: Sports Physicals
Start: 2025-08-12T16:00:00-05:00
End: 2025-08-12T20:00:00-05:00
Location: Oregon Urgent Care Clinic

Stoughton Hospital Foundation

For every $36 you donate to Stoughton Hospital Foundation, you will receive a Kwik Trip Gift Card for 5 FREE Ultimate car washes to be used throughout the year at any Kwik Trip location.

Donation
Gift Amount Quantity*
Price: $36.00
Other Amount
Corporate
- This donation is on behalf of a company.
Corporation Name*
Matching
- My company will match my gift.
Company Name*
Anonymous
- I prefer to make this donation anonymously.
Do you want us to notify someone about your gift?*
- Yes, please send a notification.
- No, thank you.
Notify Name*
Notify Address
Street Address Address, cont. City State ZIP Code
Additional Comments?
Billing Name*
First Last
Email Address*
Phone*
Billing Address*
Street Address Address, cont. City State ZIP Code
Total
$0.00
Please Note: You will be taken off-site to complete your payment. You do not need to have a PayPal account to register. PayPal allows you to pay as a guest.
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