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Gift Information

Donation Amount*
  • $20
  • $50
  • $100
  • Other $
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Contact Information

If this gift is being made by a business or community group, please enter the organization's name as follows:



First Name: Organization Name

Last Name: .

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Notification of Donation

The Society can notify a next of kin (or other designate) that you have made this donation. We never share the amount donated, only your name and an optional personalized message.

I am making this donation in memory of (name):*
The person I would like notified of the donation:
Their email address:
(and/or) Their mailing address:
The message I would like to send them:

Payment Information

Payment Type
We only accept credit/debit card payments. After you complete this form, select Submit to enter your card details into our secure transaction processor. Your submission will be processed when you finalize your secure payment information.

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