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Donation
*
Mandatory fields
*
First name
*
Last name
*
Email
Phone
Address
*
Street
*
City
*
State
*
Zip Code
Donation
*
Fund Type
Lights of Love
General Fund
Other
*
Donation Level ($USD)
Dazzling Light
$500.00 (USD)
Brilliant Light
$250.00 (USD)
Shining Light
$100.00 (USD)
Golden Light
$50.00 (USD)
Silver Light
$25.00 (USD)
Would you like your donation to remain anonymous?
Yes
Tributes & Acknowledgements
This gift is given:
to remember
to honor
Let us know if your donation in honor or in memory of someone special in your life, so that we can send out an acknowledgement card.
In whose name is this gift given?
First and Last Name
Please send acknowledgement card to
(Full Name and Address)