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MEMORIAL CONTRIBUTIONS

DONATION FORM

We are committed to serving end-of-life needs in our community for patients and families needing
products and services that are not covered by insurance or those who have no insurance coverage.

If you would like to make a contribution to Continuum Care Hospice in memory of someone who has
passed, please tell us:
Name of the deceased
Your name
Your address
Your daytime phone
The name and address of deceased person’s family member (so that we can notify them of the gift
you make in memory of their loved one).

Donations and memorial gifts can be mailed to:
Continuum Care Hospice (In Honor of / In Memory of )
12380 Plaza Drive
Parma, OH 44130

Continuum Care Hospice will acknowledge receipt of your gift after receiving it. The person you request to
be notified of your gift will be contacted at the same time. The amount of your gift will not be shared with
the family member.

Any contribution would be appreciated as it would allow us to meet needs that otherwise might not be
met. Continuum Care Hospice is a taxable entity so we are not able to accept tax deductible contributions.
Monetary and non-monetary contributions are accepted.

We truly appreciate the opportunity to serve others and are constantly striving to find ways to do more!