Donation Form - Memorial - Northern Michigan Land Trust

Your gift will immediately protect land in northern Michigan.
You are helping to create trails, preserve scenic vistas, and bring children outside.
Thank you for joining us and honoring someone you love.

Donation Form - Memorial

"*" indicates required fields

Step 1 of 2

Name of Individual Being Honored or Memorialized:*

First Middle Last

Add another Individual?

Yes

Name

First Middle Last

Name

First Middle Last

Name

First Middle Last

Type of Gift:*

Honorarium

Memorial

List the purpose of the gift (if any):

Name of Family or Person to Notify:

Address

Street Address Address Line 2 City State ZIP Code

Your Name(s) as it should be published in the newsletter:*

Comments:

Add any notes or preferences below:

Donation Information*

Other $*

Donor Mailing Information*

First Last

Email*

Enter Email Confirm Email

Donor Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Total

Donation Form - Memorial

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