The Human Resources Center
of Edgar and Clark Counties

THE GIVING TREE

THE HUMAN RESOURCES CENTER OF EDGAR AND CLARK COUNTIES GRATEFULLY PRESENTS

A LASTING TRIBUTE TO THOSE THAT HAVE ENHANCED OUR COMMUNITY THROUGH THEIR SACRIFICE, SKILL, KINDNESS, GENEROSITY, AND DEDICATION

Please mail with check or fax with credit card information to:
Human Resources Center
118 E. Court Street,  P.O. Box 1118  
Paris, Illinois 61944                                          

Fax:  (217) 463-1899

Giving Tree Donation Designation Form

Please print the name of the person or persons to be recognized with your gift:

In Honor of   ______________________________________________

In Memory of      ______________________________________________

Designated for   _____________________________________________

Type of Leaf  (please check):    0 Gold $200 0 Silver $150   0 Bronze  $100    

or Type of Stone (please check):   0 Small $400     0 Medium $600  0 Large  $800    

or  Acorn  0 $1,000 or more (HRC giving tree donations are tax deductible)

    Please acknowledge my honor or memorial gift to:

       Name ___________________________   Relationship __________
       Address   ______________________________________________
      City, State, Zip __________________________________________

Amount $ _________________  Date ____________________

Check or Money Order (make payable to the Human Resources Center)  

 Or you may charge your gift (VISA or MasterCard):   

              Card Holder Name  __________________________________
              Card Number           __________________________________
              Expiration Date       __________________________________
              My Name   _________________________________________
              Address     _________________________________________
              City/State/ZIP  ______________________________________

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Copyright © 2002 Human Resources Center of Edgar & Clark Counties