Payment Options:o Check (made payable to

Samaritan Healthcare & Hospice)

o Please charge$__________________to my credit card (Samaritan accepts Master Card, Visa andAmerican Express)

Acct # _________________________Exp. Date______ Security Code_____

Name on Card___________________

Signature ______________________

You may also make your donation through our website at:

www.SamaritanNJ.organk you for your generous supportof Samaritan Healthcare & Hospice

and our mission of servingthose in need of our care.

For more information, contact the Development Office at:

Samaritan Healthcare & HospiceAttn: Development Office

5 Eves Drive, Suite 300Marlton, NJ 08053 • 856-552-3287

Samaritan Healthcare & Hospice is a 501(c)(3) non-profit organization, making your gift tax-deductible as allowed by law.

Gifts to Honoror Remember

Someone Special

MEMORIAL GIFTS

A Meaningful Way to Remember or Honor…Each year, Samaritan Healthcare & Hospiceis the grateful beneficiary of memorial gifts.Most of these gifts are in loving memory ofpatients who received our care. Others honorfriends and loved ones for milestones such asbirthdays, anniversaries, retirements, etc..ese thoughtful donations help to sustainSamaritan’s charitable mission: Ensuring thatno patient is ever turned away from ourhospice care due to an inability to pay.

We invite you to keep this tradition alivethrough your support of Samaritan. Whencombined with the generosity of others,your contribution serves as a “livingendowment,” assuring that Samaritan’s life-enhancing Family of Services will continueto be there for all who need us − now and inthe future. ese services include at-homeand inpatient hospice care, palliativemedicine, grief counseling and supportgroups, transitional services for those not yetready for hospice care, and complementarytherapies such as music and massage.

Donors of $100 or more earn membershipin our Circle of Caring, and recognition inour annual report.

Contact the Development Office at 856-552-3205 with any questions or to learn about unique naming opportunities.

Enclosed is my/our gift of: ______________

o in memory of: o in honor of:

___________________________________

Purpose of gift:

o Memorial o Anniversaryo Birthday o Retiremento Get Well o Appreciation/anksOther______________________________

Donor Information:Name______________________________

Address ____________________________

___________________________________

City ______________________________

State______________ Zip____________

Phone ____________________________

Email______________________________

Send acknowledgement of my gift to:

Name_____________________________

Address____________________________

__________________________________

City_______________________________

State____________ Zip____________

See payment information on reverse side.