Wayne Memorial Foundation - Legacy Circle Page 3

WMH 2007
Annual Report

I have included Wayne Memorial
     Health Foundation in a will or
     trust and wish to be a Charter
     Member of the Paul M. and
     Sandra Meagher Legacy Circle.

I have made other provisions for
     Wayne Memorial Health Foundation
     and wish to be a Charter Member
     of the Paul M. and Sandra
     Meagher Legacy Circle.

You may list my name with
others in the Legacy Circle.

I wish to be an anonymous
member of the Legacy Circle.

I have not yet made my estate plans

NAME:
ADDRESS:
CITY:
STATE:
ZIP:
PHONE:	(xxx) xxx-xxxx
Comment:

With your help, Wayne Memorial
will continue to thrive.

As a Charter Member of the Legacy
Please return to: Wayne Memorial Health Foundation 601 Park Street Honesdale PA 18431