What YourMemorial GiftCan Do.717-652-8123 ● 1-800-762-6202

900 Arlington Avenue, Suite 134AHarrisburg, PA 17109

www.kfcp.org

FranklinHuntingdon

JuniataLancasterLebanonLuzerne

LycomingMifflin

Montour

AdamsBedford

BerksBlair

CentreClinton

ColumbiaCumberland

DauphinFulton

NorthumberlandPerryPotter

SchuylkillSnyderSullivan

TiogaUnionYork

KFCP 28 County Service Area

Our Mission To educate the community we serve about chronic kidney disease; to provide services and support to people whose lives are impacted by kidney disease; and to advocate for more living organ donations in order to reduce the wait for a life-saving kidney transplant. Our ValuesIn all our relationships with patients and their support team and partnerships with other agencies, the KFCP is driven by the principles of Integrity, Stewardship, Community, Collaboration, and Compassion.

Our VisionTo enhance the lives of everyone impacted by chronic kidney disease.

CumberlandCounty

Perry County

JuniataCounty

MifflinCounty

DauphinCounty Lebanon

County

Bedford County

Huntingdon

County

LancasterCounty

Schuylkill County

Luzerne County

ColumbiaCountyMontour

County

NorthumberlandCounty

UnionCounty

Lycoming County

SullivanCounty

Bradford CountyTioga CountyPotter County

McKean CountyWarren County

Forest County

Elk CountyCameronCounty

ClintonCounty

Centre County

Clearfield County

BlairCounty

CambriaCounty

JeffersonCounty

IndianaCounty

Snyder County

ChesterCounty

Berks County

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Susquehanna County

LackawannaCounty

WyomingCounty

ArmstrongCounty

ClarionCounty

Westmoreland County

DelawareCounty

MontgomeryCounty

LehighCounty

NorthamptonCounty

Monroe County

WayneCounty

ButlerCounty

VenangoCounty

Crawford County

Erie County

Mercer County

LawrenceCounty

BeaverCounty

Allegheny County

Fayette County

WashingtonCounty

Greene County

York CountyAdams County

FranklinCounty

FultonCounty

Somerset County

BucksCounty

Pike County

PhiladelphiaCounty

To make a secure gift to the KFCP, go online with a credit cardat www.kfcp.org or call 800-762-6202 or return this form.

I would like to make a gift in the amount of

$______________

Check enclosed made payable to KFCP Credit Card MasterCard Visa Discover Am Express

Card No.: _____________________________________________

Exp. Date:________________ Security Code: ________________

Name: _______________________________________________

Address: _____________________________________________

City, ST, Zip: ___________________________________________

Email:________________________________________________ Type of Donation: General In Honor of ____________________________ In Memory of _______________________________________ Designated Fund ____________________________________Name: ____________________________________________________________________________________________________ __________________________________________________________________________________________________________

Please send acknowledgement to:

Name: _______________________________________________

Address: _____________________________________________

City, ST Zip: ___________________________________________

Send to: The Kidney Foundation of Central PA 900 Arlington Avenue, Suite 134A Harrisburg, PA 17109

100% of your donation stays in this area and supports the KFCP mission to help those affected by kidney disease.

The Kidney Foundation of Central Pennsylvania is a 501(c)(3) nonprofit organization registered with the Commonwealth of Pennsylvania,

Department of State, Bureau of Charitable Organizations,PO Box 8723, Harrisburg, PA 17105.

Thank You!

Honor & MemorialTribute GiftsA gift in honor or in memory of a loved one, whether a family member, friend, or co-worker, is a wonderful tribute. For each honor or memorial gift, the Kidney Foundation of Central Pennsylvania sends notification of the gift to the individual or family, friend, or neighbor of the person that you designate. Include the name and address of the individual(s) you would like us to notify along with your gift.

How Your Gift HelpsThe Kidney Foundation of Central Pennsylvania is not a local affiliate chapter of any national organization. We rely on the generous donations from individuals and corporations to support our mission. Funds that are raised here stay right here in Central Pennsylvania. Memorial gifts help us deliver important services and programs to patients living with chronic kidney disease and their families. From our nationally-recognized Patient and Family Partner Program, to our Patient Emergency Assistance Fund, your dollars will make a big difference.

The Kidney Foundation of Central Pennsylvania is also committed to providing outstanding professional education programs and expanding the body of medical knowledge in order to improve the quality of life for people with kidney disease.

Notice of Tribute GiftsFamilies may prefer to ask for memorial gifts through the obituary. The notice in the obituary might read, “In lieu of flowers, the family requests contributions be made in memory to The Kidney Foundation of Central Pennsylvania, 900 Arlington Avenue, Suite 101, Harrisburg, PA 17109.”

Leave a LegacyGifts made through wills, charitable remainder trusts and other planned giving vehicles help to ensure that your philanthropic goals and the needs of the Kidney Foundation of Central Pennsylvania will be met for years to come.