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Donation Form
Donation Amount
*
$500
$250
$100
$50
$25
$
Donation Schedule
One Time
Monthly
Quarterly
Yearly
Contact Information
Name
*
First Name
Last Name
Organization/Company Name
If this is a corporate gift, please include the company name
Recognition Name
Please indicate how you would like this gift to be recognized in donor listings (The Smith Family, Mr. and Mrs. John Smith, John and Mary Smith, Smith Construction Company, Anonymous, etc.)
Email
*
Verify Email
*
Address
*
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Phone
*
Gift Information
Is this a tribute or memorial gift?
*
No
Yes, it is an honorary (tribute) gift
Yes, it is a memorial gift
Don Thompson Memorial Fund
Please provide the name and contact information of the honoree
Please provide the name of the deceased
Please provide contact information for a relative or friend of the deceased
We will contact this individual to let them know that a gift was made in their loved one's memory
Additional Information
Is there anything else you would like us to know about this donation?
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