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NCK Health Care
Foundation

NCK Health Care Foundation
Securing Tomorrow's Health Care "Today"

The North Central Kansas Health Care Foundation is a
not-for-profit charitable corporation committed to the
development, promotion, and improvement of health
care services in this area.

You are invited to join us in securing Tomorrow’s Health Care "Today".

Amount Contributed/Pledged: $___________________________

Name:___________________________________________________

Address: _________________________________________________

City/State/Zip: _____________________________________________

Your gift may be made as a memorial or tribute to loved ones or friends. Please indicate type of recognition and name of person(s).

________________________________________________________

Please print this form and send to:

NCK Health Care Foundation
2420 G Street
Belleville, KS 66935

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NCK Health Care Foundation

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