Your contribution

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The total gift amount will be repeated on the same day of each subsequent period. For example, a monthly gift will automatically occur on this day next month. Manage or cancel your recurring gift by logging into your account.

Pledge with installments

Your total pledged amount is split into equal installments. Select the frequency and number of installments to make. The first installment will be processed now, and email notifications will be sent for future installments.

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Minimum amount is $25

Contact information

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Optional note

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Additional details

You may use this form to renew your membership in TGH or to make a donation. Donations support the coalition activities, not any one specific clinic or program.


Coalition membership entitles you to attend our monthly online meetings, participate in trainings and webinars, and benefit from collective resourcing of supplies, equipment, and expertise. 

Are you a current member of the TGH coalition?

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What is the name of the clinic(s), institution(s) or program(s) you are most interested in supporting?

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Where are the clinics, institutions and programs located?

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What is the nature of the medical service you are most interested in supporting?

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For Medical professionals only: Are you interested in going on a medical mission to support local service providers?

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For renewing members only - Name of individual submitting renewal of membership form

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For renewing members only - Name of organization or individual member of coalition

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