Lift Up Springfield, Medical and Dental Mission Clinic
SEND CHECKS or CREDIT/DEBIT CARD INFO TO:
Please complete this form and mail along with check or credit card information to:
Lift Up Springfield, 3259 E. Sunshine St., Suite AA, Springfield, MO 65804
Please note that Paypal will show as "Legacy" on receipt.
PATIENT DENTAL PROCEDURE PRE-PAYMENT DONATION INSTRUCTIONS: If you are a patient and are making a a pre-paid donation for a dental procedure, fill out the form below and select the "One Time Donation Gift" section, fill in your pre-payment donation amount and write in what procedure the payment it is for. Please email us at firstname.lastname@example.org after you have made your pre-payment donation so that we are able to get your on the schedule. You may also email us at email@example.com to learn about other options for prepayment. Thank you!