MEMORIAL OR HONOR DONATION

Pay tribute to a loved one or friend with a memorial or honor donation. By making a tax-deductible donation to the Compassus Living Foundation, you not only ensure hospice patients and families are connected to the resources they need – you’re also paying tribute to the life of someone special to you. Every donation, no matter the size, is treated with the highest degree of respect.

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To accept donations via this form you will need to install one of our payment add-ons. To learn more about your payment add-on options, visit the following page (https://www.gravityforms.com/blog/payment-add-ons). Important: Delete this tip before you publish the form.

This gift is given in:(Required)

Memory

Honor

Name of person to honor or memorialize:(Required)

Where should we send acknowledgement to the family/caregiver? (name, address, and/or email)(Required)

Please tell us which Compassus location cared for your loved one(Required)

Donation Amount(Required)

$25

$50

$100

$250

$500

Other amount

Choose how much you would like to donate.

Total

Other Amount

Donor Information

Donor Name(Required)

First Last

Address(Required)

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

Email(Required)

Enter Email Confirm Email

Phone

I would like this gift to remain anonymous(Required)

Yes

Payment Method

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

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Credit Card

Replace this field with a field specific to your payment gateway whenever possible.

DONATE BY MAIL

You may also mail your donation to:

Compassus Living Foundation
503 N. Euclid Avenue, Suite 9E
Bay City, MI 48706
(989) 891-2231

Please download contribution form here. Or include the name of the person to honor or memorialize with your donation, as well as the location that cared for your loved one.