Donations

Your Gift To . . . "a Special Way of Caring"

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On behalf of the Board of Directors, staff, and volunteers of Hope Hospice, Inc., I would like to thank you for your gift in support of our "Special Way of Caring." It is through your generosity that we will be able to continue our service at no cost to our patients or their families.

We are grateful for your assistance in helping us in this most important work in our community. As a not-for-profit, public benefit organization, your gift is fully tax deductible. Thank you for your trust in our endeavor.

Daniel L. Purkey, Executive Director.

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Please print this page and return it with your next gift! Thank you!

Please indicate your name and address here:

Name(s): _______________________________________________________________________________________

Address: ________________________________________________________________________________________

City: _________________________ State: ________ Zip: ______________

Enclosed is my gift of: $ ________________

(Please circle one) Memorial ~ Honor Gift ~ Building Fund ~ General Fund

My gift is in memory or honor of: ________________________________________________________________

(Please circle one) Birthday ~ Anniversary ~ Retirement ~ Pledge Payment ~ Other

Please notify the following individual(s) of my memorial/honor gift:

Name(s): _______________________________________________________________________________________

Address: ________________________________________________________________________________________

City: _________________________ State: ________ Zip: _____________

Please make checks payable to:

HOPE HOSPICE

1476 West 18th Street
P.O. Box 621, Rochester, IN 46975
Telephone: (574) 224-HOPE
Fax: (574) 224-4444
E-Mail: hospice@hopehospicefc.com