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This form if for those who prefer to print and mail in their contributions. You may also donate online using the "make a donation" link to the left.

To use this form, simply print it out in your browser, fill it in and mail it to us at the address at the bottom of the page.

GIFT INFORMATION - please check those that apply:
Direct my gift to:
  Unrestricted Fund - going to areas of greatest need
  Associate Program - providing ongoing annual support
  Endowment Fund - adding to gifts held in trust with only earnings spent
  Capital Initiatives - helping to build new facilities and maintain or improve existing buildings
  Christmas Giving Fund - holiday giving
  Select your gift amount:
  $100   $250   $500
  $750   $1,000   $1,500
  $2,500   $5,000   other amount
 
  Memorial Gifts - This donation is in the memory of:
Name:  
  Please notify the following person of this memorial gift:
 
Name:  
Address:  
City:  
State:  
Zip:  
  Tribute Gifts - This donation is in honor of:
 
Name of person being recognized:  

and/or for this occasion:
(birthday, anniversary, get well, etc.)

 
  Please notify the following person of this gift:
 
Name:  
Address:  
City:  
State:  
Zip:  
St. Therese Foundation Mail-in Form page 2
 
YOUR RECEIPT INFORMATION:
       
First Name:   Last Name:  
Address:   City:  
State:   Zip:  
Home Phone:   Work/Cell:  
Email:      
 
FORM OF PAYMENT:
By Check: Print out this donation form and drop it along with your gift in the mail to:
St. Therese Foundation
8000 Bass Lake Road
New Hope, MN 55428
By Credit Card:
  Visa   MasterCard
Name on Card:  
Card Number:  
Expiration Date:  

Thank You for supporting Saint Therese Foundation. Your gift does make a difference!

Your information will be kept confidential. It is the strict policy of Saint Therese Home to NOT share any donor information. The Saint Therese Foundation is a non-profit 501 (c)(3) organization. Gifts to Saint Therese Foundation are tax-deductible to the extent allowed by law.

Regardless of potential tax benefits to the donor, the greatest benefit any donor to Saint Therese Foundation is the knowledge that his/her donation will help to continue the proud tradition of quality care to seniors provided at Saint Therese Home.

The materials listed on these pages are for your information only. When considering making a charitable gift, you should contact your tax, legal or financial advisor. Saint Therese Foundation does not render legal, tax or other professional advisory services.

Saint Therese Foundation contact e-mail dlj@sttheresenh.org

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St. Therese of New Hope
8000 Bass Lake Road New Hope, MN 55428
Care Center: Phone » 763.531.5000 Fax » 763.531.5411
Residence: Phone » 763.531.5400 Fax » 763.531.5468