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Memorial Ornaments Request Form

Name as it should appear on the Ornament 

Your Name

 

Your billing address

 

 

City 

State       Zip 

Your Telephone Number

Your Email Address

Comments

  The Foundation places a Memory Tree at Bates County Memorial Hospital each Christmas.  Ornaments designated in memory of a friend or a loved one are available for a $10 donation. You will be contacted for donation and delivery arrangements.

 
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 Bates County Memorial Hospital

 P.O. Box 370

 Butler Mo. 64730

 660-200-7000

 AMBULANCE PHONE NUMBER - 660-200-7070         TDD/TTY Phone 660-200-7089

 Corporate Compliance CONFIDENTIAL HOT LINE - 660-200-7124

 Copyright © 1999-2006 Bates County Memorial Hospital

 Please refer any questions or comments to  webmaster  marcodesigns.com

The information contained in this Website is intended to help you stay informed and to encourage you to pursue a healthy lifestyle. It is not intended to replace the advice of a healthcare professional. If you have questions or concerns    about your health, please see your doctor or other healthcare provider.  Bates County Memorial Hospital, has made an effort to ensure the accuracy of the information contained on this site, we are not responsible for any errors or omissions in the material provided or any results obtained from the use of such material.  It is the Privacy Policy of Bates County Memorial Hospital to not use "cookies" on our site.  If you electronically submit a form or pre-registration to a program, you do so at your own choice and risk, and you assume all responsibility for any liability arising from such electronic submission.  Any information you submit to BCMH will be held confidential and is never shared with third parties.