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2008/9 $ave Big Coupon Booklet
The cost is only 30.00 plus $2.00 shipping and handling.

"Alone we can do so little. Together we can do so much." Helen Keller


Name 

Address 

City 

State 

Zip 

Phone

Amount      

Please send a $ave Big Booklet as a gift to:

Name

Mailing Address

City/State/Zip code

Phone

Note on Gift Certificate

 

Please send a $ave Big Booklet as a gift to:

Name

Mailing Address

City/State/Zip code

Phone

Note on Gift Certificate

 

Method of payment Visa  Mastercard 

Credit card #

Expiration Date

My email address:


Special Gifts

If you wish to make your donation as a lasting tribute in memory or honor of a loved one or in celebration of a special Birthday or other significant event please fill in the section below.

My gift is in Loving Memory/Honor of  or in celebration of the Birthday/Anniversary 
of:
    

Please notify the following person(s) of this gift:

Name:

Address:

City/St/Zip:

Special Note:


 

THANK YOU FOR YOUR SUPPORT!

 

 

 

To Reach Us
Tri-Lakes                     Warren County                    Essex County
1-877-324-1686           1-800-730-9477               1-800-639-8045

 

Send mail to allisonrand@highpeakshospice.com with questions or comments about this web site.
Last modified: July 08, 2008