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Genesys Hospice Memorial Gifts program

You may not realize it, but you possess healing power. Your power lies in your ability to give and make a profound difference by becoming a "Friend of Genesys Hospice." By making a donation, you will help us continue to meet the needs of our hospice patients and families, especially those without adequate health coverage. Contributions also assist our volunteer and grief support programs and are tax-deductible to the extent allowed by law.

The Genesys Hospice Memorial Gifts Program
The Memorial Gifts program is a significant tribute to a loved one or friend. Through this program you can provide a lasting memorial of remembrance by making a contribution in any amount to Genesys Hospice or through purchase of a memorial brick. The choice is yours.

(Bolded fields are required.)

Please indicate below your preference of how your pledge should be listed.
Name:

Street Address:
City:
State:
Postal Code:
E-mail Address:
Telephone #:
 
 
MONETARY DONATIONS
Donation Amount








In Memory of:

In Honor of:
MEMORIAL BRICKS

Maximum 14 spaces per 3 lines




Maximum 14 spaces per 6 lines

 

If you would like the acknowledgement of this donation sent to a different address than the one above, please provide that name and address here:

Credit Card Number:
Expiration Date:
Card Type
/
Security code: (on back of card)


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