Your donation funds compassionate in-home support to individuals who are living with life-threatening illness and their families, adult and children’s grief counseling, crisis intervention services to schools and other organizations, and community education and training. All of our services are provided free of charge. You may choose to put your donation toward: (please check a box if you have a preference)

□ Here For You - to support current Hospice programs
□ Because Love Never Dies - An endowment fund ensuring future services
□ Making Our House a Home - Improvements to our home and its infrastructure
□ Other interests you might have ______________________________________

Your Name: __________________________________________ Phone: (____) ____________________

Address: ________________________________ City: ____________________ St: ____ Zip: _________

Email Address: ________________________________________________________________________

I wish to donate:

□ $5,000 or more $________ □ $1,000 □ $500 □ $250 □ $100 □ $50 □ other $_____
□ I am enclosing a check made out to Hospice of San Luis Obispo County
□ please charge my Credit or Debit Card □ Visa or □ MasterCard

Card # _____________________________________ Exp. Date _________ 3 Digit security code ______

Billing address if different: _________________________________City: _________ St: ___ Zip: _____

Signature authorizing charge: ________________________________________

The donation is made In Memory of: _______________________ In Honor of: _____________________

Send Acknowledgement to: _________________________________

Address: _________________________ City: ____________________ St: _____ Zip: _______

Your gift is tax deductible and greatly appreciated. Please consider including Hospice of San Luis Obispo County in your Estate Planning or Will.

□ I have provided for Hospice of San Luis Obispo County in my Will or Estate Plan
□ I would like more information about the benefits of Planned Giving