Memorial Acknowledgement

Thank you for your desire to donate to the Joy House in memory of another. Please fill in the details of the person you would like to memorialize below, and you will be directed to the donation form.

Name of Memorial Donor(Required)

Your First Name Your Last Name

Your Email(Required)

In Memory of(Required)

Name of the person you are memorializing with this gift

Name of Memorial Recipient(Required)

Who should we send the card to? (this is usually a family member or friend of the deceased)

Address(Required)

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

Also in Memory of

Name of the second person you are memorializing with this gift

Name of Second Memorial Recipient

Who should we send the card to? (this is usually a family member or friend of the second person)

Address

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

Also in Memory of

Name of the third person you are memorializing with this gift

Name of Third Memorial Recipient

Who should we send the card to? (this is usually a family member or friend of the third person)

Address

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

Name

This field is for validation purposes and should be left unchanged.