THANK YOU FOR YOUR GENEROSITY
TO MOORE FREE CARE CLINIC

For planned giving options, please contact the clinic, 910-246-5333.

ENCLOSED IS MY GIFT OF: $ _____________

PLEASE DESIGNATE MY GIFT FOR:

Medications

 Non-prescription medications/supplies

 General operating fund

 Where it is most needed


 

MEMORIAL GIFT

Name of Honoree:

(please print) ____________________________

We will send a card to the following person indicating your gift.

NAME________________________________
ADDRESS_____________________________
CITY _________________________________
STATE
____________ ZIP ________________


 

DONOR INFORMATION

NAME________________________________

ADDRESS_____________________________

CITY _________________________________

STATE ____________ ZIP _________________

PHONE_______________________________ EMAIL________________________________