How You Can Help

Planned Giving & Other Ways to Donate

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Make a Donation
Simply print out this page, complete the information below, and mail to:

Keystone Hospice
Attn: Development
8765 Stenton Avenue,
Wyndmoor, PA 19038

PLEASE PRINT

Enclosed is my gift of:
___ $500 ___ $250 ___ $100 ___ $50 ___ $25 ___ Other
Your gift is tax deductible as allowable by law.

____ Check enclosed (made payable to Keystone Hospice)

____ Please charge my credit card: ___VISA ___ Mastercard

Card #: ___________________________ Exp date _______

Name on card: ____________________________________

Signature: ________________________________________

____ My company's matching gift form is enclosed.

Gift from:

Name ___________________________________________

Address __________________________________________

City __________________ State _______ Zip ___________

Phone ___________________ E-mail __________________

I offer this gift:

In Memory of ____________________________
(please print)

In Honor of ______________________________
(please print)

Please send a gift acknowledgement to
(if different than "Gift from" information above):

Name ___________________________________________

Address _________________________________________

City __________________ State _______ Zip ___________

All proceeds benefit Keystone Hospice operating fund.
Thank you for your support!