Hospice of the Upstate

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Thank you for supporting Hospice of the Upstate’s Butterfly Release. Your gift will help us continue a long tradition of the highest quality of end of life care.
Please enter your donation in the box below.

Qty

Description

Amount

Total

Butterfly

$25.00

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Butterfly with Butterfly Garden Stake

$50.00

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Dove

$100.00

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Dove with Butterfly Garden Stake

$125.00

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I will cover the credit card and online processing fees associated with my donation. If yes, 2.5% will be added to the donation. Uncheck the box if you do not wish to pay the fee.

Total: $0.00

First Name: *

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This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

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Country: *

Telephone:

E-mail: *

A receipt will be e-mailed to this address.

I will attend the Butterfly Release on Sunday, June 28th:

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I would like information about becoming a volunteer.

Memorial/Honorarium Information:

Tribute Gift Type:

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Expiration Date: *