The Friends of Soldiers' Home in Holyoke, Inc.
"Care with Honor and Dignity"

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"Please highlight the following and choose print selection, mail completed application to the Soldiers' Home in Holyoke")

Soldiers' Home in Holyoke Memorial Gift Application

SHH-HEART


Enclosed is my check or money order for $                       

Name:                                                                               

Address:                                                                            

City/Town:                                 State:          Zip:                

Date:                     

If this is a memorial contribution, to whom (next of kin) should we send a condolence card? Please know that this card will identify you as a memorial contributor, but will not indicate the amount you have donated.

In memory of:                                                                                    

Name of next of kin:                                                                           

Relationship:                                                                      

Address:                                                                            

City/Town:                                 State:          Zip:                
                                                                            

HELP US....HELP OTHERS, THANK YOU!

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SOLDIERS' HOME IN HOLYOKE Friends of the Soldiers' Home in Holyoke, Inc.
Mailing Address:
110 Cherry Street
Holyoke, MA 01040
Phone: (413)532-9475

"Care with Honor and Dignity"