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Thank you for making a gift to Hospice of Northwest Ohio. You may do so conveniently by filling out and submitting this form electronically on our secure site. You will immediately receive an email confirmation that your information has been received. In addition, you will receive an acknowledgement of your gift via U.S. mail. You can also download a form here and send it via U.S. mail.
Please note: If your gift is being made in memory or in honor of someone, we will notify the individuals you are honoring or the family members of the person you are remembering. Please be sure to provide complete contact information for these individuals when filling out this form.If you would like to discuss a major gift or are interested in supporting a certain project, please contact:John Lechman, CFREVice President, PhilanthropyPhone: 419-931-5187Email: email@example.com
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I would like to donate:
Please enter the amount excluding any dollar signs ($) or commas (,).
Your credit card will automatically be billed on the 15th of every month for twelve months for the amount you select.
We appreciate your donations! To show our gratitude, we send all of our donors acknowledgement letters If you would like the person above to receive an acknowledgement letter, please provide their address below.
We appreciate your donations! To show our gratitude, we send all of our donors acknowledgement letters. If they would like to receive an acknowledgement letter, please list the names and addresses of all those associated with the donation.
Person to be notified of your gift
Please Note: Light Up a Life donors will be mailed notification cards.
Matching Gift Program? Many area employers sponsor matching gift programs for employees or retirees. This could double your gift to Hospice of Northwest Ohio.
Hospice of Northwest Ohio 30000 East River Road Perrysburg, OH 43551 Attn: Lyn Cooke
Before submitting this form, please click on the link below to move the contents of box "A" into box "B" leaving the first box empty.
A: B: Click to Move