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My Memorial Gift
Item #:  Memorial Gift
 
Amount:  $
 
(Note: * = required field)
 
Donor's Name *: 
 
In Memory of Name *: 
 
Acknowledge to Name *: 
(We will mail an acknowledgement to the address you provide below.)
 
Address *: 
 
City *: 
 
State *: 
 
Zip *: 
 
Direct my gift to:  Where the need is greatest
Cancer Treatment Center Fund
Womens & Pediatrics Services
NICU
Heartcare Fund
Hospice Fund
Hospice House
Senior Services
Light up a Life/Auxiliary House
Other (indicate below)
(Choosing "Where the need is greatest" allows us to address current needs as determined by the Foundation's Board of Directors.)
 
or direct my gift to: 
 
Automatic Gift:  One-Time
Annually
Quarterly
Monthly
(Simplify your giving by selecting annual, quarterly or monthly - your credit card or bank account will be debited per your instructions. Cancel at anytime by contacting us.)
 
Please contact me:  Yes
 

 
 
My Gift to Honor
Item #:  Honor Gift
 
Amount:  $
 
(Note: * = required field)
 
Donor's Name *: 
 
In Honor of Name *: 
 
On the occasion of: 
 
Acknowledge to Name *: 
(We will mail an acknowledgement to the address you provide below.)
 
Address *: 
 
City *: 
 
State *: 
 
Zip *: 
 
Direct my gift to:  Where the need is greatest
Cancer Treatment Center Fund
Womens & Pediatrics Services
NICU
Heartcare Fund
Hospice Fund
Hospice House
Senior Services
Light up a Life/Auxiliary House
Other (indicate below)
(Choosing "Where the need is greatest" allows us to address current needs as determined by the Foundation's Board of Directors.)
 
or direct my gift to: 
 
Automatic Gift:  One-Time
Annually
Quarterly
Monthly
(Simplify your giving by selecting annual, quarterly or monthly - your credit card or bank account will be debited per your instructions. Cancel at anytime by contacting us.)
 
Please contact me:  Yes
 

 
Hospice House Contribution
Hospice House Contribution
Item #:  Hospice House
 
Amount:  $
 
(Note: * = required field)
 
Donor's Name *: 
 
Automatic Gift:  One-Time
Annually
Quarterly
Monthly
(Simplify your giving by selecting annual, quarterly or monthly - your credit card or bank account will be debited per your instructions. Cancel at anytime by contacting us.)
 
Please contact me:  Yes
 
A donation of any amount will help make this Gift of Peace a reality for those in need.