238 S. Congress
Rushville, IL 62681
Telephone: (217) 322-4321
Fax: (217) 322-2546
Giving Opportunities > Giving Form
Foundation Giving Form (pdf)
Please use this form to help assure that your gift is applied to the fund or program of your choice. When you have printed and completed the form, enclose it along with your check and mail to:
CMH Foundation
238 South Congress St.
Rushville, IL 62681
Culbertson Memorial Hospital
238 S. Congress
Rushville, IL 62681
Telephone: (217) 322-4321
Fax: (217) 322-2608