Friends of Karen - Acceptiva

This Gift is for: *

Other:

This donation is on behalf of a Company or Organization.

Company / Organization Name:

Company Match

My employer will match my gift.

Company Name:

Donor Information

Salutation:

First Name: *

Middle Name:

If not applicable enter 'none'.

Last Name: *

What you like to be called:

For example, if your name is Elizabeth, do you like to be called Betsy or Liz or something else?

Billing Address: *

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

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Telephone: *

E-mail: *

A receipt for your donation will be e-mailed to this address.

Tribute Gift

For a gift of $250 or more, please consider giving a brick in honor or in memory of a loved one. Dedicating a personally inscribed brick in the pathway of loving messages at our North Salem headquarters is a lasting and meaningful tribute.

Please include your brick message here… (20 characters per line includes space, commas, period) You will receive a replica brick with the same message. For more information contact GabriellaDiSisto@FriendsofKaren.org

Message:

Making a gift in honor or in memory of a special person is a wonderful way to recognize them and provide hope and comfort to others. If you would like, we will send a letter to a recipient of your choice informing them of your thoughtful gesture.

Tribute Type: