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How your contributions are usedFunds raised through the NHPCA Annual Raffle help to ensure there are an adequate number of trained professionals to care for chronically and terminally ill Nebraskans.

Scholarships are awarded to nurses, social workers, physicians, advocates, administrators and others working in the end-of-life field in Nebraska.

Help support scholarships for hospice professionals in Nebraska!

2014 NHPCA RaffleApril 15-16, 2014Embassy Suites Lincoln, Nebraska

Raffle Donation Form

Please submit a form for each item or package donation.NAME OF CONTRIBUTING PERSON OR AGENCY/ORGANIZATION AS IT SHOULD APPEAR ON RECOGNITION:

Contact Name _______________________________Organization Name __________________________Address ______________________________________City, State, Zip ________________________________Phone _______________________________________Email ________________________________________

FAIR MARKET VALUE OF ITEM OR PACKAGE: $ ______________________Provide a detailed description of the item or package, including unique qualities. Attach a description if more space is needed. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

If you are not able to donate an item or package, please consider making a direct donation to NHPCA. Make checks payable to NHPCA, or pay securely via credit card online at nehospice.org (Be Involved, Donate to NHPCA).

Nebraska Hospice and Palliative Care Association

1200 Libra Dr Ste 100, Lincoln, NE 68521-9332phone 402-477-0204 fax 402-475-6289

email info@nehospice.orgnehospice.org

NHPCA Annual RaffleThe NHPCA Annual Raffle will be held during the “Living a Good Life… at the End of Life” conference to support scholarships for hospice professionals in Nebraska. Conference attendees can take home a variety of fun items and packages by participating in the raffle.

Items will be displayed at the raffle booth in the trade show from 9 a.m. to 3:45 p.m. on Tuesday, April 15, and 7:15 a.m. to 3 p.m. on Wednesday, April 16. Stop by to see the prizes that you can win!

Raffle tickets can be purchased from any conference workgroup member, board member, or at the raffle booth.

Raffle Ticket Prices:1 ticket for $1.006 tickets for $5.0012 tickets for $10.0030 tickets for $20.00

Raffle participants can choose which items to put their raffle tickets towards.

Drawings to determine winners will be held at 3:15 p.m. on Wednesday, April 16. Raffle winners do not need to be present to win.

Donate a Raffle PrizeWe need your help to make this event a success! Consider donating a single item or gift basket to the raffle.

Before March 24, submit the form at right to indicate your commitment to donating an item or package. A contribution form is also available at nehospice.org. Please submit a detailed item/package description to Kathryn Nohl, Membership and Marketing Coordinator, at KathrynN@nehca.org.

Donations should be delivered to NHPCA, 1200 Libra Drive, Suite 100, Lincoln, by April 7 or brought to the conference registration desk on Tuesday, April 15.

In return for your donation, you will receive recognition throughout the conference. All raffle donors will receive their name (or agency/organization name) in the conference book, on

event signage, and at nehospice.org.

The Nebraska Hospice and Palliative Care Association is an IRS-recognized 501(c)3 non-profit organization. Your contribution to NHPCA may be tax deductible.