Sample Scholarship Fund Donation Request Letter Page 2

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HOME CARE FOUNDATION of NEW JERSEY
HOME HEALTH AIDE SCHOLARSHIP FUND
DONOR FORM
YES, I want to help make dreams come true. Please accept my contribution to this fund so that
nursing education will be possible for home health aides in New Jersey.
NAME_________________________________________________________________
AGENCY/ COMPANY (if applicable)____________________________________________
ADDRESS_____________________________________________________________
_____________________________________________________________
Amount of Contribution:____________________________
(Optional)
This contribution is in honor of:
NAME_________________________________________________________________
PLEASE MAKE YOUR CHECK PAYABLE TO:
Home Care FDN of N. J.
(This is a tax-deductible charitable donation)
Please mail this form with your check to:
Home Care Foundation of N. J.
14 Washington Road, Suite 211
Princeton Junction, N. J. 08550
PLEASE NOTE:
Any donations of $1,000 or more provide the donor with the opportunity to participate in the
award ceremony presentations at the Home Care Association of NJ Annual Meeting in May, and
to receive special recognition for this gift.
______Please call me to discuss special donation opportunities for the Scholarship Fund
Phone:_______________________________
THANK YOU For Your Support!

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