Honor or Memorialize a Loved One
I would like to help make a difference with a one-time donation as a: Memorial Gift: Celebrate the memory of a loved one.
To whom would you like to send your Acknowledgement Card?:You have the option to choose to have an acknowledgment card sent in the mail or to have an electronic acknowledgment sent via email. Please provide the name of the person to send the acknowledgment to along with their mailing address or their email address depending on your acknowledgment delivery preference.
Memory Gift Amount : Gift Amount - $ 50.00 $ 75.00 $100.00 $125.00 $150.00 $200.00 Other Amount Enter Amount (Do not use $ symbol):
Honor Gift Amount : Honor Amount - $ 50.00 $ 75.00 $100.00 $125.00 $150.00 $200.00 Other Amount Enter Amount (Do not use $ symbol):
Name:
Organization:
Address:
City:
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Fax:
E-mail:
Southeastern Guide Dogs
4210 77th Street East • Palmetto, FL 34221 • Telephone: 941.729.5665 • Fax: 941.729.6646
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