Brookville Center Honor/Memorial Form

Gift Information

Payment & Process

Honor and Memorial Gifts

A memorial or tribute gift of any amount may be made to Brookville Center in honor of a loved one.

With a gift of $15 or more, we will send a beautiful memorial card or a card to mark a special occasion—birthday, anniversary, graduation or wedding, for example—to a recipient you designate. The cards feature artwork by participants in our programs and note that a contribution has been made to Brookville Center for Children's Services (amount of the donation does not appear on card.)

Field Is Required Enter A Gift Amount:

$500.00

$250.00

$100.00

$50.00

$25.00

Enter Amount ($10.00 Minimum)

Enter amount

Honor / Memorial Information

I would like to give in Honor/Memory of:

Honoree First Name:

Honoree Last Name:

Send notification of my donation to:

(An acknowledgemet card created by a person supported through our programs will be sent to the Recipient listed below. The amount of the donation does not appear on the card.)

Title:

Notification Recipient First & Last Name:

Recipient Relationship to Honoree/Deceased (spouse, mother, sister):

Street 1:

Street 2:

City:

State:

ZIP/Postal Code:

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