the dream - Markham Stouffville Hospital
the dream - Markham Stouffville Hospital
the dream - Markham Stouffville Hospital
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Fold to this edge when sealing<br />
NAME:<br />
ADDRESS:<br />
CITY:<br />
Yes! I want to help <strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong>’s<br />
expansion <strong>dream</strong> become a reality.<br />
PROVINCE: POSTAL CODE:<br />
TELEPHONE:<br />
E-MAIL:<br />
I would like to make a single gift of:<br />
$50 $100 $250 O<strong>the</strong>r: $<br />
I have enclosed a cheque.<br />
I would like to use my credit card:<br />
CARD NUMBER:<br />
EXPIRY DATE:<br />
NAME ON CARD:<br />
mSHeroes<br />
Visa MasterCard AMEX<br />
I would like to make this gift in honour of my MSHero.<br />
My Hero(es):<br />
Department/Location:<br />
I want to honour my hero because:<br />
Please do NOT share my message with my Hero<br />
or <strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong>.<br />
Gift of a Lifetime<br />
I have included <strong>the</strong> <strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong> Foundation<br />
in my will.<br />
Please send me information on including <strong>the</strong><br />
<strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong> Foundation in my will.<br />
I do not want to be publicly recognized.<br />
HELP MAKE OUR<br />
DREAM<br />
A Reality<br />
You can donate online at<br />
www.msh.on.ca/foundation/msh,<br />
call us at 905.472.7373 ext. 6341,<br />
or mail your donation to:<br />
<strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong> Foundation<br />
381 Church Street, PO Box 1800<br />
<strong>Markham</strong>, Ontario L3P 7P3<br />
To find out how to be included in this report next year or<br />
to learn more about <strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong>,<br />
please contact us at 905.472.7373 ext. 6341<br />
or mshfoundation@msh.on.ca<br />
Our Commitment to You<br />
The <strong>Markham</strong> <strong>Stouffville</strong> <strong>Hospital</strong> Foundation respects your privacy. We<br />
keep all personal information in strict confidence and will never trade, sell<br />
or lease your information. If, at any time, you would like to be removed<br />
from our mailing list, please call 905.472.7373 ext. 6341 or e-mail<br />
mshfoundation@msh.on.ca.<br />
Charitable Registration No. 13064 3620 RR0001<br />
DR103<br />
SEALING INSTRUCTIONS: detach form, moisten glue strip, fold to edge and seal.
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