|
Memorial Gift
Cascade Valley Hospital Foundation Please Designate My Gift For: ___ Capital Equipment Fund ___ CVH Lifeline Program (Medic Alert System) ___ Unrestricted - Use where needed most ___ Other: _________________________ ___ I prefer not to have my donation acknowledged Enclosed is my gift of $_________ to Cascade Valley Health Foundation. Donor: ___________________________________________________________ Address: __________________________________________________________ City: _____________________________________________________________ In Memory of: ______________________________________________ Address: __________________________________________________________ City: ____________________________ State: _______ Zip: ________________ Please sign card as follows: ___________________________________________ |
|
Make check payable to: Cascade Valley Hospital Foundation Complete form and mail to: 330 S. Stillaguamish |