© 2012 Camarillo Hospice Corporation, 400 Rosewood Ave., Suite 102, Camarillo, CA • (805) 389-6870
We Appreciate Your Support!
As a non-profit organization, we are grateful for all donations and gifts. If you are interested in helping us provide compassionate care to those facing a life-limiting illness, or grieving the loss of a loved one, please print this form and
mail it with your generous gift amount, or click the button at the bottom of this page to make a secure, online donation:
Please accept my donation of:
___ $50 ___ $100 ___ $250 ___ $500 ___ $1,000 ___ $5,000 Other:____________________________
Please publish my donation:
___ In memory of: _________________________________________________________________________________________
___ In honor of: ___________________________________________________________________________________________
Send acknowledgement to: __________________________________________________________________________________
___ I have included Camarillo Hospice in my will (we would like to thank you).
___ Send me information on how to include Camarillo Hospice in my estate planning.
Camarillo Hospice is a 501(c)(3) non-profit organization; tax ID Number 95-3347061. Please send your gift to: Camarillo Hospice, 400 Rosewood Avenue, Suite 102, Camarillo CA 93010-5933. To contact Camarillo Hospice please call us at 805-389-6870, or e-mail at: firstname.lastname@example.org
To make a secure, online donation through PayPal, please click on the button below (you don't have to have a PayPal account):