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Too many local seniors are alone, hungry, and struggling to meet basic needs.
YOUR GIFT WILL CHANGE LIVES.

Your gift helps create access to vital programs and services for older adults in our community. Your help will ensure that individuals in need have the opportunity to live each day with dignity and purpose. To make a contribution, please complete the form below. If you would like for your gift to support a specific program, please choose an option from the Designation list below. For more information or if you have a question, please contact Mark Batten, vice president of development, at 336-721-6908 or mbatten@seniorservicesinc.org.

If your employer matches gifts, please let us know by checking the appropriate box on the form below. If you are not sure whether or not your employer will match your charitable donation, please click on this link to view a list of matching gift companies in our area. It is important to note that you will need to follow up by filling out and filing the paperwork required by your employer to generate the matching funds distribution.

Your Contact Information

First Name *

Last Name *

Business Name

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Phone

Address Line 1 *

Address Line 2

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Designation

If you would like for your gift to support a specific program or event, please choose from the list below.

Honor/Memorial Information

In Memory of (honors an individual who has passed away) In Honor of (marks a special occasion for a friend or family member)

Designated Contact Name

Address Line 1

Address Line 2

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State

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Phone

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