Donation Form
Note: If your company will match your donation, please use the mail-in option.
Date:
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Donor ID No. (if known):
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Donor Name:
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Donor Address:
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City, State, Zip+4 (if known):
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Phone:
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E-mail Address:
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Annual Donation ($25 suggested):
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Strangers Rest Marker(s) Donation ($100 each)
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Gravesite Restoration Donation:
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History/Research Donation:
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TOTAL DONATION:
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Historical Interest:
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Family Names(s) and Lot Number(s) if known:
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Notes:
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In Memory of:
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In Honor of:
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Please acknowledge to:
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Address:
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City, State, Zip+4 (if known):
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