Yes! I would like to be a Friend of the Auxiliary.

Please print this page, fill out the form, and mail it to the Friends of the Auxiliary.

Friends of the Auxiliary
Attn: Development Office
Community Hospital of the Monterey Peninsula
Post Office Box HH
Monterey CA 93942-9910

Please write your name exactly as you wish it to appear on the
Friends of the Auxiliary roster.

Name: ___________________________________________________________
(Please print)

Address: _________________________________________________________

Phone number: __________________

E-mail address (optional):________________________

My Friends of the Auxiliary gift:

$25
$50
$100
$250
Other $_________________

My gift is in honor of: in memory of:

______________________________________

Please provide notification (with gift amount undisclosed) to:

_______________________________________

Address: _______________________________

City/State/Zip:__________________________