Foundation GIFT As a special way of caring, enclosed is my gift of: ___$10 ___$25 __$50 ___$75 ___$100 __$250 ___$500 ___$1,000 ___other ______ From ___________________________________________ Address__________________________________________ City _____________________________________________ State ________________Zip ___________ In memory of ~ In honor of ~ Please inform _____________________________________ Of this gift (amount not disclosed) Address__________________________________________ City _____________________________________________ State _________________ Zip ___________ Please return this form with your donation and mail to: Logan Medical Center Foundation P. O. Box 1017 Guthrie, OK 73044 405-260-4170 All gifts are tax deductible to the fullest extent of the law. More Information No documents found