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California Hospice Foundation 3841 North Freeway Blvd., #225 Sacramento, CA 95834 Phone: 916 925-3770 Fax: 916 925-3780 CA Hospice |
We hope to be able to take on-line donations soon. In the meantime, you can fill out this form on your computer or download it to complete by hand.
Enclosed is my gift of $_______ made payable to the California Hospice Foundation.
From: __________________________________ Phone: ___________
Address: __________________________________________________
City: __________________________ State: _______ Zip: __________
I would like information about how to name the California Hospice Foundation in
my will.
My gift to the California Hospice Foundation is:
In memory of ____________________________________________
In honor of ______________________________________________
(Indicate birthday, anniversary, graduation, etc.)
Please Notify (optional):
Name as it should appear on card: _____________________________
Address: __________________________________________________
City: __________________________ State: _______ Zip: __________
Thank you for your generosity, 100% of your donation goes directly to the California Hospice Foundation. We are a 501(c)(3) charitable foundation. Donations are tax deductable. If you have any questions, please contact us (See bottom of page).