XL Hospice, Inc.: Donation Form

Donation Form


My donation is in memory of:
Amount of donation:
	A donation confirmation will be sent to the donor at the address below:
Donor's Name:
Address:
City/State/Zip:
	Your donation will be acknowledged to those named below. The amount will be shown only in the letter sent to you (for tax purposes). Please send an acknowledgement letter to:
Mr. Ms. Mrs.
Address:
City/State/Zip:
Click here	if no acknowledgement letter is necessary.
	You can send your donation in two convenient ways:
1. If you can print this form, please attach it to your check payable to the XL Hospice, Inc. and send to our address on the home page. 2. Simply click on the Send button below to receive our self-addressed envelope. If you would like to donate in a form other than a check: securities, payroll deduction, annuities, life income plans, etc., please call us at (208)465-7121 or send us a message through our contact form.