Yes! I am happy to support Ridgeview Medical Center with the following gift: _______Cash donation
$_____________ (Please make checks payable to Ridgeview Foundation)
_______ In-kind donation
Item _______________________________ Value $ _________________
_______ Certificate enclosed
______ Please contact me to arrange for item to be picked up
Company/Name _______________________________________________________ Phone ________________________________ (As you would like it to appear in print) Address _________________________________________City ____________________________________State ____ZIP__________ Email ________________________________________________________________________________________________________ Please return form via email to foundation@ridgeviewmedical.org no later than May 6, 2016 to ensure inclusion in Our event program. Please note any changes on this form. Thank you.