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Yes! I want to make a tax-deductible contribution to support the CHEC.
Print out the form below and send your name, address, telephone number, and e-mail address to:
Salem Hospital Foundation Office
PO Box 14001
Salem, OR, 97309
Or donate online at www.salemhospitalfoundation.org.
I would like my gift to be used for:
[ ] Comunnity Health Education Center
[ ] Where the Need is Greatest
Here is my gift of $____________
I want my gift to be in memory of:
I want my gift to be in honor of:
Please send acknowledgment to:
Name:
Address:
