In Loving Memory Donation

A Donation in Loving Memory

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

For*

In loving memory of

To honor

Donation Amount*

Name*

Frequency

I want to make a one-time donation

I want to make a recurring monthly donation

Direct my gift to

Area of Greatest Need

Early Intervention Program (EIP)

Please send an acknowledgement card to*

First Last Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Assistance League of Laguna Beach publishes donor names in publications viewed by the public.

Please let us know if you prefer not to be included on our donor recognition lists. Donor information is not shared (unless required by law) or sold to any outside organization.

You may include my name and donation in your publications

You may include my name in your publications

Please do not include my name as I wish the donation to be anonymous

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A Donation in Loving Memory

Thank You for Supporting Assistance League of Laguna Beach