Honoring local Healthcare Workers Order Form
Has a healthcare worker made a difference in your life or the life of someone you love? Send them a gift to let them know how appreciated they are. On Friday, May 14th, we will deliver gifts to your honored healthcare workers to their place of business.
Your $10 gift will include a personalized note and an Angel Wings pin - honoring a healthcare worker for being an angel on earth.
Payment can be made by:
-Check or cash - mailed to or dropped off at: The Salvation Army, 89 Franklin St. Waterloo, IA 50703
-Electronic payment -
www.sawaterloo.org
(click on the "donate now" button)
-Credit Card in-person payment by stopping by The Salvation Army, 89 Franklin St.
Thank you for supporting our wonderful Healthcare workers and also The Salvation Army.
* Required
Your Name
*
Your answer
Your Email
*
Your answer
Your telephone number
*
Your answer
Name of the Healthcare Worker you want to honor (one form/healthcare worker)
*
Your answer
Place of Healthcare worker's employment
*
Your answer
Address of Healthcare worker's employment (we will deliver to healthcare facilities in Waterloo and Cedar Falls)
*
Your answer
Message you would like to share with the Healthcare worker:
Your answer
This is an example of what the gift will look like:
Your answer
How will you be providing payment for this gift:
*
I will be mailing a $10 check to The Salvation Army - 89 Franklin St. Waterloo, IA 50703
I will be dropping off $10 cash to The Salvation Army - 89 Franklin St. Waterloo, IA 50703
I will be paying electronically by visiting the website
www.sawaterloo.org
(click on the "donate" button)
I will pay with credit card in-person by stopping by The Salvation - 89 Franklin St. Waterloo, IA 50703
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