Please Print This Form if You Wish to Make A Gift to the WCHC Trust Fund

Planned Giving:    "One of the nicest things you can do for yourself!"

    Yes, I would like to contribute to the Trust Fund

  __ I have named the Trust Fund in my will or Trust.  Please contact me for details

  __ Enclosed is my gift of $_______ for the Trust Fund.

  __ I would like to contribute $_______ as a Memorial  to _____________________________________.                                                                        

  __ I am interested in additional information about the Trust Fund.                       


  Date __________               ______________________________________
                                                                        Signature of Donor

 
Donor's Name _____________________________________

Address __________________________________________

              __________________________________________

City _________________       State______Zip ____________

 

WCHC thanks you for your generosity. Your gift will be acknowledged in our Book of Honor in the lobby of the Wishek Community Hospital

 

  Please         WCHC Foundation
  return to:    P O Box 647
                 Wishek, ND 58495-0647  
  

For more information call:   (701) 452-2326, Ext. 156