Hospice SupportGrief SupportVolunteer ServicesEvents & CalendarDonate Hospice of the Rapidan

Back home Hospice Support Grief Support Volunteer Advance Directives Newsletter Donate Employment Opportunities In the News Event Calendar Our Mission Board of Directors Residental Facility On-Line Store Links Directions Contact Us
 
 
 
 
 
 
 
 
 

Red Check Mark GraphicYes!  I want to support dignified and compassionate end-of-life care in my community by making a gift to Hospice of the Rapidan.

You may make your tax deductible contribution to Hospice of the Rapidan by credit card by completing the form below, by telephone at 540-825-4840, or by mailing your check to:

Director of Development
Hospice of the Rapidan
P. O. Box 1715
Culpeper, VA   22701
You will receive a tax receipt for each contribution.  Hospice of the Rapidan will also send a card in honor of a special person or event, or in memory of a loved one if you wish.  Simply provide the information on the form below and we will take care of it.

Field in red are required fields.
DONOR INFORMATION
First Name(s):
Last Name:
Address:
City:
State:
Zip Code:
Daytime Phone:
Evening Phone:
Email Address:
The best way to reach me is by:  Phone     Email    Mail
Would you like your donation to be anonymous? No     Yes
DONATION INFORMATION
Memorial Gift: $
Tree of Lights: $ For Lights  (3 for $50 or $20 each)
Butterfly Release: $ For Butterflies  ($25 each)
Redskins Ticket Raffle: $ For Tickets (3 for $25 or $10 each)
General Support: $
TRIBUTE INFORMATION
 
In Memory Of:
In Honor Of:
Please send notification of my gift to:
Name:
Address:
City:
State:
Zip Code:
TRIBUTE INFORMATION
 
In Memory Of:
In Honor Of:
Please send notification of my gift to:
Name:
Address:
City:
State:
Zip Code:
TRIBUTE INFORMATION
 
In Memory Of:
In Honor Of:
Please send notification of my gift to:
Name:
Address:
City:
State:
Zip Code:
MATCHING GIFT INFORMATION
 
My employer has a matching gift program.
Company Name:
Contact or Department:
Address:
City:
State:
Zip Code:
 
ADDITIONAL INFORMATION
 
Please send me information about planned giving:  Yes        No  
I have remembered Hospice of the Rapidan in my will: Yes        No  
I am interested in becoming a volunteer:  Yes        No  
Comments:
Our Privacy Policy

Hospice of the Rapidan
Compassionate & Dignified End-of-Life Care

Another quality website proudly designed,
promoted and maintained by
Simply Web Services of Fredericksburg, Virginia

© Simply Web Services & Hospice of the Rapidan