
To Honor and Remember
- Gift in Honor of
- Gift in Memory of
- General Donation
(please continue to the “Your information section”)
Name (s): ____________________
Please send an acknowledgement to:
_____________________________
Your Information:
_____________________________
Name
______________________________
Address
______________________________
City State Zip
______________________________
Phone
______________________________
Email
Please accept my gift of:
$1000 (Mercy Society) $500 $250
$100 $50 $25 Other $_______
Enclosed is my check made payable to Stella Maris.
Please charge my gift of to:
Visa Mastercard American Express Discover
_________________________________________
Card Number
_________________________________________
Expiration Date
_________________________________________
Name on Card
_________________________________________
Signature
Please print and complete this form and enclose your preferred method of payment. Send you gift to:
The Development Office at Stella Maris
2300 Dulaney Valley Road
Timonium, Maryland 21093
Thank you for your generous support. All gifts are tax-deductible to the full extent of the law. All gifts receive a receipt for tax purposes by return mail.
For more information, please call 410-252-4500 extension 7268.
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