Your Title and Name: Mr., Mrs., Mr. & Mrs., Dr. _______________________

Address _______________________________________________________

City __________________________   State _____________  Zip __________

If your gift is in honor or in memory of someone, please complete the information below:

In Memory Of ___________________________________________________

In Honor Of ____________________________________________________

If you would like Glenmary Sisters to notify the family of the person you are honoring or remembering with your gift, please give the family member's name & address below.

Name: Mr., Mrs., Mr. & Mrs., Ms., Dr. ______________________________

Address _______________________________________________________

City ________________________   State _____________  Zip ___________

Enclosed: __ Check __ Cash           Amount: $____________

PLEASE CONTACT ME WITH INFORMATION ABOUT:

PLEASE MAIL OR FAX THIS FORM WITH YOUR GIFT OR INQUIRY TO:

Glenmary Center
P.O. Box 22264
Owensboro, KY 42304
Fax: (270) 686-8759

If you would like to discuss giving opportunities, please call the office at (800) 301-2689 or (270) 686-8401.

THANK YOU!