Order by Phone or Mail

To purchase an item, please call the Fund Development Department of TideWell Hospice and Palliative Care at 941-552-7597 or 1-800-959-4291, ext. 7597, or email the Development Department for more information.

Alternatively, you may fill out & print this form and mail the information, along with your check to:

Development Department
TideWell Hospice and Palliative Care
5955 Rand Boulevard
Sarasota, FL 34238


YOUR CONTACT INFORMATION

Your name
Address
City
State
Zip
Work phone
Home phone
Email address

PLEASE INDICATE GIFT DESIRED

 
$100 4x8" brick with inscription

$200

8" round stone with inscription.

TYPE:


$500 Commemorative bird bath (Arcadia and Englewood only)

$1,000

16" x 16" stained glass mosaic personalized stepping stone

TYPE:


$2,000 Garden bench with engraved plaque (Arcadia and Englewood only)

GIFT INSCRIPTION
(Maximum 3 lines with 12 characters each)



SAMPLE INSCRIPTIONS

Loving Memory
of
Ann Jenkins
John Jones
Loving Grandpa
Love to all
who walk here
Susan Smith
50th Anniv.
Nate & Evelyn
Henderson

I want my engraved gift to be placed at the Pathways of the Heart site in:

 

Please print this form and mail the information, along with your check to:

Development Department
TideWell Hospice and Palliative Care
5955 Rand Boulevard
Sarasota, FL 34238

 


 

 
TideWell Hospice & Palliative Care | 5955 Rand Boulevard, Sarasota, FL 34238
Phone: 941-923-5822 | Toll Free: 800-959-4291

 

© 2006-2007 TideWell Hospice & Palliative Care