Glacier Hills Gift Submission

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Phone*

Please accept my gift of:*

$100 $250 $500 $999

Other:

Please direct my gift to:*

Campus Programming Capital/Campus Projects Resident Assistance Colleague Assistance Unrestricted – Please use my gift to address emerging needs and opportunities as needed

Other:

Campus Programming*

Life Enrichment Activities Transportation Art/Music Therapy Memory Care

Other:

Capital/Campus Projects*

Landscaping and Gardens Wellness Center and Equipment

Other:

Colleague Assistance*

Employee Scholarships Employee Emergency Fund Child Development Center Subsidy

Other:

Resident Assistance*

Resident Benevolence

Other:

This is a tribute gift made:

In memory of: In honor of:

Name

First Name

Last Name

Please notify the following individuals of my tribute gift:

First Name

Last Name

Notification Address

Address Line 1

Address Line 2

City

State

ZIP Code

Glacier Hills Foundation is a 501(c)(3) non-profit organization. Your gift is tax deductible to the extent allowed by law.

Thank you for your generous support!

Notification Email