Your donation to the Northern Indiana Community Foundation, Inc., given in memory or in honor of a friend or relative, is actually a gift to the community at large. Instead of benefiting just one agency or cause, it will be used to help make grants to a wide variety of charitable, education, heath and cultural programs in your county, either Fulton, Miami, or Starke. What better way to remember someone than to help create, in their honor, a lasting living legacy for the future of your community?

An appropriate card will be sent to the person you indicate, but the amount of your tax-deductible gift will be shown only on your receipt.

Please Print:
In Honor of: ___________________________________________________

To Commemorate: ______________________________________________

(Please indicate special occasion, i.e. birthday, anniversary, job well done, retirement, best wishes for a speedy recovery, etc.)

In Memory Of: __________________________________________________

Please make checks payable to the Northern Indiana Community Foundation, Inc.

Donation will be placed in an unrestricted fund unless otherwise noted.
Name of particular fund ___________________________________________
County ________________________________________________________

Please send acknowledgement card to: (please print)
Name __________________________________________________________
Street __________________________________________________________
City ___________________________ State _____________ Zip ___________

Donation From:
Name __________________________________________________________
Street __________________________________________________________
City ___________________________ State _____________ Zip ___________

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[ ] Please send me more information about the Northern Indiana Community Foundation.

Send to:

Northern Indiana Community Foundation
P.O. Box 807
Rochester, IN 46975