ORDER FORMQuantity:

______ Tree Topper Angel ($1,000) ______ Angel ($100)

______ Peacock ($50) ______ Cross ($25)

Total Amount: $_____________ Thank you!

Please choose an ornament on my behalf and accept my year-end gift of $_____________

Name __________________________________________________________________

Address ________________________________________________________________

City, State, Zip __________________________________________________________

Daytime Phone _________________________ Email __________________________

Type of Payment:

● Check (make payable to: PMSV Foundation)

● Credit Card # ____________________________________________

Exp Date: _____/______ CVC#: ______

Signature ___________________________________________________

Honor a loved one’s memory or show staff members how much you appreciate them

Throughout December, 2020

All proceeds support residents in need at Providence Mount St. Vincent

Contribute with a Hallelujah Tree ornament

this Christmas

Tree Topper Angel Angel Peacock Cross

● In Memory of ● In Honor of

_____________________

_____________________

_____________________

Message: ______________

_____________________

_____________________

Participate online at: give.providence.org/WA/mountstvincent/hallelujah-tree

Ornament photography generously donated by Kevin Cruff Photo.

of PeaceA Gift