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Donor Form
First Name Last Name
Address
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Phone
Email
Gift Information:
I would like to support UMEC with a gift of:
$25.00
$250.00
I would like to volunteer my time
$50.00
$1,000.00
$50.00
Other $
Payment Information:
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Expiration Date:
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Gift designation:
Greatest Need
Linn Health Care Center Improvements
Corporate Matching Fund
Affordable Assisted Living Fund
Chaplaincy Fund
Other Fund
Tribute Information:
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In Honor of
In Memory Of
In Celebration of
Please send notification to:
Name
Address
City
State
Zip
Winslow Gardens - 40 Irving Avenue East Providence, RI 02914 401-438-4456
Linn Health Care Center - 30 Alexander Avenue East Providence, RI 02914 401-438-7210