Family House Donation Form

You can help patients and families who must travel to Wausau for specialty care or have a loved one in medical crisis and need help with a safe, affordable, healing place to stay.

$35 - Supports a family for one night
$105 - Supports a family for three nights
$245 - Supports a family for one week

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Please select a gift amount


If a matching gift from your company or business is applicable, please send the appropriate company form(s) to:
Aspirus Health Foundation
425 Pine Ridge Blvd.
Wausau, WI 54401

Gift Information

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Donor Information

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Billing Information

Check this box if the your billing information is the same as the donor information you entered above.

Step 1 of 2. Next Step: Review and confirm donation details.