Arbor Hospice - Donation Form

Hearts of Remembrance

Hearts of Remembrance

Each year, over 60 volunteers design, handcraft and distribute thousands of heart-shaped keepsakes as part of our Hearts of Remembrance program. This is one of our largest fundraisers and we invite you to purchase one of these beautiful ornaments to remember someone special. How much does one heart cost? The amount is up to you. Whether it's $20 or $1,000, your gift will make a difference to the hundreds of people we care for every day.

Hearts will be available and on display at The Residence of Arbor Hospice in Ann Arbor from November 27 - January 2, the Hearts of Remembrance Tree at Southland Mall in Taylor from November 18- Decebember 16, and at select Comerica Bank locations from November 1 - December 31.

Yes, I'd Like to Remember a Loved One with a Handmade Heart!

Use this secure form if you are paying with American Express, Visa or MasterCard, and would like to submit your contribution directly online. If you'd prefer to mail or fax your contribution, please mail to Attn: Development, 2366 Oak Valley Drive, Ann Arbor, MI 48103 or fax to Attn: Development, (734) 662-9000.

Please accept my contribution of $

This ornament is:

In Honor of

In Memory of

Donor Information

Your Name

First Middle Init. Last Name

Street

City

State

Zip

E-mail

Phone

123-456-7890

Credit Card Information

Type

Name on Card

Account #

Expiration Date

Month

Year

Please check one:

Please mail my ornament immediately to me at the address above.

Please mail my ornament immediately to the person listed below, with a note identifying me as the sender.

Name

First Middle Init. Last Name

Street

City

State

Zip

Phone

123-456-7890

Comments

Access Center
1-800-997-9266

Ann Arbor
Click for map
2366 Oak Valley Drive
Ann Arbor, MI 48103
Phone: (734) 662-5999
Fax: (734) 662-2330

Downriver
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19145 Allen Rd., #110
Trenton, MI 48183
Phone: (734) 486-4060
Fax: (734) 486-4061

Western Wayne
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331 N Center
Northville, MI 48167
Phone: (248) 348-4980
Fax:(248) 465-1845

Toll-free
1-888-992-CARE