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Remember Someone Special

Thank you for selecting Midland Care for this memorial donation.  This is a special way to remember those who have touched our lives.  Please complete this form below.  Information on the person you wish to remember is at the end in the Tribute section. 
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$ 1,000.00
$ 500.00
$ 250.00
$ 100.00
$ 50.00
$ 25.00
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