Donate My gift is designated for: Maple Knoll Village-Future Care Fund The Knolls of Oxford-Future Care Fund Village Home Health and Hospice Maple Knoll Outreach Services for Seniors WMKV 89.3 FM/89.9 FM Radio Station Good Samaritan Fund Vision of Caring Corporate Campaign Maple Knoll Village Auditorium To be used where needed most The Fountain Frolic Virtual 5K Other Donor Information Name Please indicate how you wish to be listed for recognition. Email Address Address City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Telephone Please list my gift In memory of In honor of Please notify Name Address City State ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip Credit card information We accept Visa/ MC/ Discover and Amex First name Last name Number Exp date Amount I have included Maple Knoll Communities, Inc. in my will or estate plan. Many companies match contributions of current and retired employees. We would appreciate you noting the name of your or your spouse's employer: Name of company Please send me more information about: Making a bequest in my will or estate plan Planned life income gifts, e.g. Gift Annuity Program Living at Maple Knoll Village or The Knolls of Oxford Village Home Health and Hospice Meals on Wheels or Transportation Services Would you like to make your contribution a monthly or recurring gift? No Yes If so, we would be happy to send you additional information and options to make the giving process a simple feat.