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THANK YOU FOR YOUR SUPPORT - PLEASE MAIL OR FAX DONATION FORM TO MAIL 336 Penetanguishene Rd Barrie ON L4M 7C2 Canada FAX 705. 722. 0716 For more information contact us at PH 705-722-5995 or www. hospicesimcoe. ca Privacy Policy Hospice Simcoe respects your privacy and will not sell or distribute your personal information to anyone. I may change the amount or cancel my monthly contribution at any time by notifying Hospice Simcoe. Donor Signature PAYMENT OPTIONS Cheque Automatic Withdrawal...
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