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Yes! I want to make a tax-deductible contribution.
Print out the form below and send your name, address, telephone number, and e-mail address to:
Hospital Foundation Office Telephone: Or donate online at www.salemhospital.org. Click on "Support Salem Hospital"
PO Box 14001
Salem, OR, 97309
[ ] Salem Hospital Foundation
[ ] West Valley Hospital Foundation
Here is my gift of $____________
I want my gift to be in memory of:
I want my gift to be in honor of:
Please sent acknowledgment to:
I want my gift to be used for:
[ ] Please send me information about how I can make a gift to the hospital through estate planning.
