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Third-Party Fundraiser Event Application

Please complete and submit the following application at least 3 weeks prior to your event. 

Note: The web form below will not save your content if you exit the page without submitting.
Click HERE to download the printable PDF of the application and guidelines. 

If you prefer, paper application may be completed and mailed to:

Mountain Valley

Attn: Leigh Anne Groves

PO Box 325

Dobson, NC 27017

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Get in touch
(336) 789-2922
generalinquiries@mtnvalleyhospice.org
Clinical fax: (336) 789-4334
Referral fax: (336) 719-7834 or (888) 556-2347
Mailing address: PO Box 325, Dobson, NC 27017
Corporate office: 105 N Crutchfield St, Unit 2, Dobson, NC 27017 

Mountain Valley care is available 24/7.
After hours phone number: (888) 789-2922

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