Deep River and District Hospital
Pathway of Angels Form
The Pathway of Angels surrounds the Deep River and District Hospital Helipad and is built with personalized engraved stones in memory of, on behalf of, or in honour of a loved one, individual or family.
Part of the proceeds from the sale of the stones supports the Deep River and District Hospital Foundation. If you wish to purchase a stone please complete the form below.
If you have any questions or would like to request additional information please call 613-584-1266 ext.131.
First Name Last Name
Address
Telephone Number - -
Name on the Stone
Wording on the stone
Desired logo/Emblem Please pick one of the following Emblems to be placed on your stone:
Please Note:
cheque for $150.00 should be mailed directly to the hospital attention: Sue Lachance.
- until the cheque is received, no order will be placed.
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