Walking Sticks & Cane Referral Form

Empower Another - Remember a Loved One - Give from your Heart! - See the LINK Below and CLICK Photo for Carving Schedule and Classwork

Freedom & Assisted Independence!


GIVERS First & Last Name
Address Line 1
City, State, ZIP
CELL Phone #	() -
Daytime Phone	() -
E-mail Address
RECIPIENTS Name
RECIPIENTS Phone #	() -
RECIPIENTS Cell	() -
RECIPIENTS St. Address
RECIPIENTS City, St, Zip
RECIPIENTS Height
RECIPIENTS Waist to Floor Measurement
Each Cane Handle is individually carved - do you have a special design request for the handle?
Cane GIFT Honorarium or Memorial TRIBUTE (List name of person or organization and special comments).
Honorarium "Personal Note" to be included at Presentation.
Do you desire an organized Presentation where you can be present?
Do you desire to have the Gift mailed? If yes . . . please list address
When would be a good time to schedule a PRESENTATION of this Gift?
SPECIAL Requests & Comments

You're NEVER too old to venture!

The pleasures of outdoor adventure . . .

DONATE to Offset DIRECT COST
It is WeDo Services great honor to provide this GIFT and / or TRIBUTE Offering for you. WeDo only asks your assistance with a donation to help us off-set our direct costs. The following is a listing of our costs:
CANE SHIPPING: $30.00
MATERIALS: $25.00
Gifts and Donations can be made at the right "donation button" to help us with our overhead. Should you desire to give over and above our direct costs - we THANK YOU in advance. If you are unable to contribute, WeDo Services will do its very best to cover these fees - we want NO PERSON TURNED away.
Thank you.

FOCUS Ministries, Inc. and its programs are organized and operate exclusively

for charitable and educational purposes.

FOCUS is a Federally approved not for profit 501©(3) organization and Georgia Corporation.
As a charitable organization, we are authorized to solicit and receive
tax deductible donations from the public.
All information here is produced by FOCUS and
duplication and or use of its content is forbidden without permission.

FOCUS Ministries - Post Office Box 13119, Jekyll Island, Georgia 31527
912 / 577-3562 - Email: FocusMinistries@bellsouth.net
Website: FocusMinistriesInc.com

Walking Sticks & Cane Referral Form

Empower Another - Remember a Loved One - Give from your Heart!

FOCUS Ministries

Advisory Leaders

COMMENTS & REG SURVEY

EMPLOYMENT Opportunities

Exec. Director & Chaplain

Operating Statements

WORD for the Day

CEREMONIAL RITES & CLERGY

Animal Blessings & Burial

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Ceremonial Staging

Ceremony Survey

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REGISTRATION

Seaside Dance Association

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WOOD Cane Referral

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C A K E S !

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ITINERARIES

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