HOSPICE OF THE HIGHLAND RIM FOUNDATION, INC.
Serving Bedford, Coffee, Franklin, Grundy, Moore and Lincoln counties.
HOW YOUR DONATIONS HELP HOSPICE PATIENTS
Your donations go directly towards making a difference in the lives of hospice patients and their families. An advisory board will evaluate the special needs grants to ensure that dollars are directed to the most critical needs in a timely fashion. Your support to Hospice of the Highland Rim Foundation, Inc. will continue to:
· Give grants to families whose needs fall outside of the realm of hospice care
· Enrich the lives of patients and families by relieving distress/hardship during this time in their lives.
· Because of your gift a patient may be able to fulfill a special wish or see a loving face before the end.
· Sponsor scholarships to assist individuals in continuing studies in health care education
With your donation, you become part of the hospice foundation family,
helping to care, helping to make a difference.

Acknowledements
Your contribution will be acknowledged to the family or individual you indicate. The amount of the gift is shown only on the letter mailed to you as a receipt for your tax records.
Have Questions? Hospice of the Highland Rim Foundation, Inc. is qualified under section 501(c)(3) of the Internal Revenue Code. All donations to the Foundation are tax deductible to the full extent allowed by law.
Please contact our office
by phone (931) 563-7439, or via e-mail at
Info@HHRFoundation.org
Non-Profit
Print the following form and mail to: Hospice of the Highland Rim Foundation, Inc. 110 E. Lauderdale St., Tullahoma, TN 37388 DONOR INFORMATION: Donor Name: _______________________________________________________________________ Donor Address: _____________________________________________________________________ City, State, Zip: _____________________________________________________________________ Phone: ________________________________________ E-mail: _______________________________________________________________________ In Memory of: ________________________________________________________________ In Honor of: __________________________________________________________________ Name and address of family member to notify: Name of Family Member: ____________________________________________________________ Address: __________________________________________________________________________ City, State, Zip: _____________________________________________________________________
Individual Donation: ___________________________________________________________
Monthly Recurring Donation: ___________________________________________________
Gift Amount: ____$15 ____$25 ____$50 ____$100 ____$125 ____________ Enter an Amount