Making a difference

Enclosed is my gift to Generations Home Care, Inc.

( ) $10 ( ) $25 ( ) $50 ( ) $100 ( ) Other _________________

If applicable, fill in the following:

In memory of____________________________________________

In honor of _____________________________________________

Please acknowledge gift to _________________________________

_______________________________________________________
(Name and address)

Donor name: ___________________________________________

Address: ___________________________________________

City: ___________________________________________

State, Zip Code: ___________________________________________

Please make checks payable to Generations Home Care, Inc. All gifts are tax deductible.

If you would like to make a donation by credit card or would like additional
information about Generations Home Care, Inc., please contact us at:
(888) 810-5422 or (302) 322-3100.
Our fax number is (302) 322-3270.