Foundation
Memorial gift card
Enclosed is my gift of $___________________________
circle one of the below
-In memory of
-In honor of
Name ________________________________________
Given to the Mercy HealthCare Foundation
Please send acknowledgment to:
Name_________________________________________
Address________________________________________
City____________________ State_______ Zip________
My name is_____________________________________
Address________________________________________
City____________________ State_______ Zip________
Make your tax-deductible gift check payable to:
Mercy HealthCare Foundation
570 Chautauqua Blvd.
Valley City, ND 58072
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