Gift in Honor or Memory

Tribute Gift Form

Type of Tribute Gift:(Required)

Gift in Honor

Gift in Memory

Name of Tribute Gift Honoree:(Required)

Who are you honoring?

Donation Amount(Required)

Name of Person/Family Making the Donation:(Required)

Tell us your name.

Email Address of Person/Family Making the Donation:(Required)

CFLC use only.

Mailing Address of Person/Family Making the Donation:(Required)

Street Address City State / Province / Region ZIP / Postal Code

For donation receipt. CFLC use only.

Please tell us where to send a Gift Acknowledgment Card (if applicable):

First Name Last Name

If you provide a name and address, we will send a handwritten card to the person/family letting them know you made a tribute gift in their honor/in memory of their loved one.

Street Address City State / Province / Region ZIP / Postal Code

Total

Payment Method*