“Down the Road to Quality Health”

Your Health Services Foundation represents a hefty portion of generosity, determination, and commitment to a greater cause spanning several generations…

And now it is time to let you know that in order to enhance patient quality of life your Foundation has presented a Handicap accessible van for Houlton Regional Pro-gressive Care Facility servicing long term care patients at the Houlton Regional Hospital.

Today we are asking you to become a “Community Spirit Person” in support of your hospital’s van.  For your gift of $25.00 — Name(s), a Memorial or in Honor of will be placed on an engraved 3×5 plaque located in the Progressive Care Facility.

Yes, I/We Have

“Community Spirit”

and Want to Help!

Name:_____________________________

Tel:_______________________________

Address:____________________________

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Inscription:

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Inscription: Please limit to four (4) lines, 20 characters per line including spaces.
To indicate line breaks please place a number before each new line ,‚,ƒ,„.
(If purchasing more than one plaque, please use a separate sheet for additional inscriptions.)
Gift Cards available upon request.