Serving Union County since 1953 A 501(C)(3) Charitable Organization 126 N. Main Street, P.O. Box 608, Marysville, Ohio 43040 Phone: 937.642.9618 Fax: 937.642.7376 Gift Form Include this information with your gift to the Union County Foundation. You may print out this page using the PRINT button on your browser; or click here for a Word for Windows (.doc) version of the Gift Form. THIS GIFT IS FROM: ____ Use Name and Address on Enclosed Check or Circle All That Apply: Mr. Mrs. Ms. Dr. Circle All That Apply: Mr. Mrs. Ms. Dr. Please Print Name(s) : Address: City: State: Zip: Phone: Please make checks payable to Union County Foundation. Your gift is tax deductible. PLACE MY GIFT IN THE FOLLOWING FUND(S) : Please Mark Your Selection   Union County Foundation Unrestricted Fund   The Artbox Fund   Malcolm MacIvor, M.D. Memorial Fund   Sara Mae Burnside Scholarship Fund   Marysville Housing, Inc. Fund   Stacey Beth Colbert Memorial Fund   Jason K. Mathewson Memorial Scholarship   Community & Seasoned Citizens Fund   The McElheny Family Foundation Fund   Pat Conlon Scholarship Fund   Memorial Hospital Development Fund   Andrew Daum Memorial Soccer Scholarship   Mosaic Fund   Sarah Kathryn Demchak Memorial Scholarship Fund   Mudgett Family Fund   FosterFriends Fund   North Union District Veterans Memorial Fund   Charles W. Green Scholarship Fund   Ohio Cattlemen’s Foundation   The Hildreth Endowment   Underwood Family Cultural & Educational Fund   Keckley Park Development Fund   United Way of Union County Lasting Legacy Fund   Kiwanis Memorial Scholarship Fund -- Dr. C.B. Mills Memorial Scholarship -- Sargent V. Chamberlain Scholarship   U.R.E. Scholarship Fund   Veterans Memorial Program   Veteran’s Remembrance Fund   Dan B. Kyle Scholarship Fund   Georgeann Vollrath Memorial Fund   Lewis Family Fund   YMCA General Fund   FIELDS OF INTEREST   Arts & Crafts   Environmental   Churches   Healthcare   Youth & Seniors   Recreation UNION COUNTY FOUNDATION, P.O. BOX 608, MARYSVILLE, OH 43040 (937) 642-9618 Email: commfounduc@imetweb.net Website: www.emarysville.com/unioncountyfoundation