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Empowering Heart Program

At Ecumen, we are honored to serve the seniors who live in our community. Many hands participate in the care provided. Some play a highly visible role, others work behind the scenes to ensure that this is the best place to live.

If an employee ensures that your care was not only great, but exceptional, that person has an Empowering Heart.

You can use this form to make a gift honoring an employee with an Empowering Heart. He or she will be notified and receive an empowering heart pin.

The employee with an Empowering Heart will experience a great sense of honor knowing his or her care left such a lasting impact.

As a 501(c)(3) organization, Ecumen relies on donations to help support our operations and programs dedicated to improving the aging experience. Your contribution is fully tax-deductible goes directly to the programs, services, and care that serves our seniors and their families.

For more information about the Empowering Heart program, please call , 651-766-4300.

Empowering Heart Donation Amount

Empowering Heart Questions

Empowering Heart Questions

Employee(s) Name (include first and last if possible) *

Employee(s) Title

Ecumen Community (Example: Ecumen Lakeshore) *

Please use my gift towards *

Please share a note of gratitude

Billing and Contact Information

First Name: *

Middle Initial:

Last Name: *

Email: *

Country: *

Address: *

City: *

State: *

Province:

Zip/PostalCode: *

Phone:*

Honor/Memorial Gifts

I want to dedicate my donation to someone:

In Honor Of In Memory Of Tribute To

In Memory Of:

Honoree Name:

Send Email acknowledgement to:

Send Postal Mail acknowledgement:

First Name:

Last Name:

Address Line 1:

Address Line 2:

City:

State:

Zip/Postal Code:

Country:

Dedication Message:

Payment Details

CreditCard

Routing Number: *

Account Number: *

Check Number: *

Account Type: *

Check Type: *

Name on Card: *

Credit Card Number: *

Card Verification(CVV): *

Expiration Date: *

Invoice Number:

Purchase Order Number:

Name: *
Reference Number:

You will be charged:

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Thank you for supporting Ecumen and our employees!

Your donation:

Empowering Heart Donation Amount

Empowering Heart Questions

Billing and Contact Information

Honor/Memorial Gifts

Payment Details

Terms & Conditions

Matching Gift

You will be charged:

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