To become a supporter of the Sisters of Mercy, print and complete this form. Then mail it or fax it to: Patti Troy-Ott Executive Director of Development Sisters of Mercy Regional Community of New York 150 Ridge Road Hartsdale, NY 10530 914-328-3761 (fax) Name Address City State Zip Daytime Phone Evening Phone Fax E-mail Address I would like to donate $ _______ to the Sisters of Mercy Regional Community of New York: I would like my donation to honor: Name of person: Relationship Please check if deceased If you wish to allocate your gift among funds, please indicate the amount you are donating to each fund. Please make checks payable to The Sisters of Mercy Regional Community of New York. $ Ministry Fund $ Catherine McAuley Scholarship Fund $ Service Fund $ Retirement Fund $ Marian Woods Fund $ Mercy Center  Fund If you would like to pay by credit card, please fill out the following: Card Number Visa MasterCard   Exp. Date Signature of card holder My employer supports employee giving with matching funds. For more information, the Sisters of Mercy may contact: Company officer Name of employer Address Suite# City, State, Zip Daytime telephone Please contact me for more information about these gifting opportunities: The Legacy Society Stocks & Securities Real Estate Charitable Remainder Trust Charitable Lead Trust An Endowment Fund Life Insurance The best time to contact me is The best way to contact me is: at home at work Do you know of anyone who might be interested in supporting the work of the Sisters of Mercy? We would be happy to contact them in your name. Please share information on gifting opportunities to the Sisters of Mercy with: Name Name Address Address Suite# Suite # City, State, Zip City, State, Zip Relationship Relationship <-- Home