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Contact Information
Make a Memorial or Honorary Gift
Name
*
First Name
Last Name
Spouse / Partner Name
First Name
Last Name
Mailing Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Email
*
Verify Email
*
Home phone
*
Mobile Phone
Donation Information
Donation Amount
*
$25
$50
$100
$250
$500
$1,000
$2,500
$5,000
$10,000
$
Please select One Time to make a single gift, or Annually to make a gift automatically on this date each year.
One Time
Yearly
Continue donating until:
(mm/dd/yyyy)
Gift designation:
*
An unrestricted gift allows us to apply your support wherever it's needed most. You may also designate your gift to our endowment fund.
select one
Unrestricted
Endowment
Is this gift in honor or in memory of someone?
*
select one
Yes - In Honor
Yes - In Memory
No
Name of the person you are memorializing:
First Name
Last Name
Would you like us to notify a family member or other person of your memorial gift?
Yes
No
Name of person to notify of your gift
First Name
Last Name
Address of person to notify of your gift:
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Name of the person you are honoring:
First Name
Last Name
Address of the person you are honoring:
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Would you like to receive our quarterly newsletter?
*
select one
No
Yes - Electronic (PDF)
Yes - Hardcopy
