You're invited to Light Up a Life with a light on the Camarillo Hospice Tree of Life!

(Please print this form and send to Camarillo Hospice, 400 Rosewood Ave., Camarillo, CA 93010.)

This holiday season, let your love and appreciation of special people in your life light the world by contributing to the Tree of Life. When you light up a life you show how much you care while also ensuring the continued availability of volunteer hospice care and grief support in our community. Each tax-deductible gift will be represented by a light on the Tree of Life in Camarillo’s Constitution Park throughout the holiday season. In addition to adding a light on the Tree of Life, your donation also will be acknowledged with a Tree of Life memento suitable for gifting, and the name of each person remembered or honored will be inscribed in the Camarillo Hospice Tree of Life Book of Lights.

___I am enclosing $_______ for ________ lights to remember or honor the person(s) listed below (suggested donation: $20 per light).

___I am sending my information, but will make my donation online (please click on the "Make A Donation" button at the bottom of this page and indicate Tree of Life in the "item" space on form).

___Please send me information about becoming a sponsor of the Tree of Life.

___Please send me _____ acknowledgement cards.

Name ________________________________________________________________________

Address: ______________________________________________________________________

City__________________________State_____Zip________Phone________________________

E-mail ________________________________________________________________________

Please publish my donation:

___ In memory of: ______________________________________________________________

___ In honor of: ________________________________________________________________

To list additional names, please enclose a separate sheet.

Camarillo Hospice is a 501(c)(3) non-profit organization; tax ID Number 95-3347061. Please send your gift to: Camarillo Hospice, 400 Rosewood Avenue, Suite 102, Camarillo CA 93010-5933. To contact Camarillo Hospice please call us at 805-389-6870, or e-mail at: info@camarillohospice.org

To make a secure, online donation, click on the button below.