___Yes, I (we) want to share in the care of Shriners Hospitals for Children.
___I have previously made a Will leaving a Bequest (of $100 or more) to
the Shriners Hospitals for Children Endowment Fund.
___I have added a provision in my Will leav-ing a Bequest (of $100 or more)
to the Shriners Hospitals for Children Endowment Fund.
___I prefer to make a cash donation at this time (of $100 or more).
Make your check payable to:
Shriners Hospitals for Children
Signed_____________________________
Shriner?____________________________
Address____________________________
City________________________________
State______________Zip ______________
You may give a $100 Million Dollar Club membership in another person's name,
as a special anniversary, birthday, or appreciation gift. Please have the
membership certifica-tion read:
__________________________________
__________________________________
Return this application to: Crescent Shrine Center, P.O. Box 1457, Burlington,
NJ 08016