Donation Form

Thank you for considering a gift to Covenant Hospice. Your generosity will help provide compassionate care for patients with life-limiting illnesses and their loved ones. You can make your gift online using the following form or mail your donation to the address below. Thank you again for your support of Covenant Hospice.

 

 

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This gift is from (your name if you are the donor):

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Please send an acknowledgement of my gift to:
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I am interested in being a Covenant Hospice Volunteer.

I want to provide for Covenant Hospice in my will or other estate-planning document.

I would like to become a member of the Covenant Society:
Diamond $5,000 or greater*
Emerald $2,500 - $4,999*
Ruby $1,000 - $2,499*
Sapphire $500 - $999*
Not at this time

I am interested in regular giving through recurring payments . Please contact me.

I would like to donate the amount of
 
Verisign. The Value of Trust

Process your donation now using Verisign's secure credit card transaction processing or print this form and mail your gift to:

Covenant Hospice
5041 N 12th Ave
Pensacola, FL 32504

You will receive an acknowledgement of your gift. Gifts to Covenant Hospice, a 501(c)(3) not-for-profit organization, are tax deductible.

Thank you for supporting Covenant Hospice!

Covenant Hospice, Inc. operates in the state of Florida as a 501(c)3 charitable organization and is registered with the Florida Dept. of Agriculture & Consumer Services. Covenant Hospice does not engage outside solicitors, and one hundred percent (100%) of contributions are received by Covenant Hospice and its foundation. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

For additional information, call the Florida Dept. of Agriculture and Consumer Services at 1-800-435-7352. Registration # SC-04450.

* Total annual contributions. More details...

  

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