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Make a Tribute Gift

Use this form to honor or memorialize a loved one through a donation supporting Vintage House's vital services, programs, and scholarships that keep seniors engaged in our community.

This secure donation form is powered by Stripe, which has been audited by a PCI-certified auditor and is certified to PCI Service Provider Level 1. This is the most stringent level of certification available in the payments industry.

Donor's Contact Information

Name

First Name

Last Name

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Amount

$1,000

$500

$250

$100

$50

$25

I wish this donation to remain anonymous.

Is this gift in honor of or in memory of a loved one?

Honorary

Memorial

Is this gift in honor of or in memory of a loved one? Copy

Honorary

Memorial

In whose honor/memory are you making this gift?

First Name

Last Name

Dedication

Tribute Recipient's Name (Whom should we notify? )

First Name

Last Name

Please provide the address where you would like the tribute card to be sent.

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Acknowledgment preference:

In addition to the year-end tax donation letter you will receive in January, how would you like today's gift to be acknowledged?

Please save resources and acknowledge today's gift by email only.

I would like a printed acknowledgment of this gift sent by postal mail.