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

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*
- $50
- $100
- $250
- $500 - Friend
- $1000 - Benefactor
- Other
Other $*
Donor Mailing Information*
First Last
Email*
Enter Email Confirm Email
Donor Address*
Street Address Address Line 2 City State ZIP Code
Phone*

Credit Card

Cardholder Name

Card Details

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Donation Form - Memorial

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