Print this form, enter your information, and
send it with your check (made payable to the UMRH Foundation) to:
The UMRH Foundation
2600 Croasdaile Farm Parkway, Suite A-500
Durham, North Carolina 27705
You will received an acknowledgement within one week of our receiving your
gift.
CONTACT INFORMATION
Title:______ First Name:_____________ Middle: __________ Last Name: _______________ Jr./Sr.______
Spouse if joint gift: _____________________
Street Address or P. O. Box: _________________________________________________________________
City: _______________________ State: _______________ Zip: ________________
Phone Number: __________________________ E-Mail Address: _____________________
HONOR
I would like to make a gift in Honor of
______________________________________________________
Address of person/persons honored:
________________________________________________________
________________________________________________________
MEMORY
I would like to make a gift in Memory of
____________________________________________________
Please acknowledge this gift to:
___________________________________________________________
Address of person to whom it is acknowledged:
_______________________________________________
_______________________________________________
PLEASE PICK A CONTRIBUTION LEVEL:
$25 ___ $50 ___ $100 ____ $500
$1000 - $9,999 Friends Gift__________ $10,000 - $49,999 Patrons Gift _________ $50,000+ _________
Other Amount_______
I WOULD LIKE TO SUPPORT (choose a campus or project)
MOTHERS' DAY OFFERING FOR BENEVOLENT CARE____________
I would like my home church to be notified of my gift __________
Church name:____________________ Church Address:
__________________________________________
CROASDAILE
Croasdaile Village Benevolent Care Annual Fund ___________
Croasdaile Village Benevolent Care Endowment ____________
William Preston Few Interfaith Chapel ____________________ (one
$7,500 and one $8,500 window available)
Sherman T. Nance Pavilion Courtyard and Gardens ___________ (See publication on
NEWS page)
Croasdaile Village Unrestricted ____________
CYPRESS
GLEN
Cypress Glen Benevolent Care Annual Fund ___________
Cypress Glen Benevolent Care Endowment ____________
Memory Care Cottage ______________________________ (see publication on NEWS
page)
Cypress Glen unrestricted _______________
WESLEY PINES
Wesley Pines Benevolent Care Annual Fund ___________
Wesley Pines Benevolent Care Endowment ____________
Wesley Pines Unrestricted ________________
GIFT OPPORTUNITIES
Visit our Gift Opportunities page to see naming opportunities on each campus.
PAYMENT
Gifts under $1000 should be made payable in one
calendar year. Gifts over $1000 may be paid in two to three years. Please call
(919) 384-3006 or 3004 to discuss other payment plans.
HOW TO PRINT
Under the FILE menu in your browser, go to print preview. Then hit print.
This will reduce your page and allow easier printing.
April 10, 2006
Beverley S. Pierpoint, webmaster:
beverleys@umrh.org