Medical Motor Service of Rochester &
Monroe County, Inc.
608 Clinton Avenue South
Rochester, New York 14620
Please print all information
Amount of gift $___________________
In Memory of____________________________________________________________________
In Honor of______________________________________________________________________
On the occasion of________________________________________________________________
Please notify______________________________________________________________________
Address__________________________________________________________________________
City______________________________State________________Zip Code____________________
From_____________________________________________________________________________
Address___________________________________________________________________________
City______________________________State_______________Zip Code______________________
Please make checks payable to Medical Motor Service.
If you would prefer to use your Visa or MasterCard please provide the following information.
Card Number:__________________________________ Expiration date_____________________
Signature of cardholder_____________________________________________________________
Help us
ensure future accessible services, please remember us in your will.
For
information regarding endowment funds and planned giving, please contact
William McDonald at
(585) 654-6030 ext. 221.