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2. As recognition for your donation we invite you to add your name to our Wall of Donors!

   You may have just your name posted or you may include your donation amount as well.

4. Name*
5. Is this donation in honor or memorial of someone?*

   1. In Honor
   2. In Memory
   3. No
7. Would you like to display their name in honor or memorial?*

   1. Yes, Only Their Name(s) (Ex: In honor/In memory of (name))
   2. Yes, Include My Name (Ex: Name donated in honor/in memory of (name))
   3. No
9. Name of individual to be honored or in memorial.*
11. Would you like to display your donation amount? *

    1. Yes
    2. No
12. Donation Amount*
Leave This Blank:


14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit

* indicates a required field