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Enclosed, please find my tax-deductible donation to help keep Eaton Community Hospice FREE for
those in our community who need it most.
$____________________
Name:__________________________________________________
Address:________________________________________________
City:_____________________State:___________Zip:____________
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Please
use this Donation for:
Memorial Gift in memory of:___________________
Honorarium Gift in honor of:____________________
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If Paying by Credit Card,
Please Bill My:
( )
Visa
( ) Master
Card
( ) Discover
Credit Card Number:_______________________________
Expiration: ________________
Signature:________________________________________
Please inform of my donation in memory/in honor
of their loved one
Name:__________________________________________________
Address:________________________________________________
City:_____________________State:___________Zip:____________
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