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Memorial Gift

Please complete the form below to honor a loved one with a gift to our Memorial Fund. Donations can be mailed to PO Box 36, East Aurora, NY 14052.

Amount

*

$

Memorial in honor of:

First Name

Last Name

Contact Information

Name

First Name

Last Name

Email

Verify Email

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Phone