Tribute Gift

Donor Contact Information

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Email*

Phone*

Donation Detail

Donation Dedication*

In Honor Of

In Memory Of

Donation in Memory of

I would like my donation to be anonymous

If you select Yes, Fossil Rim will not identify you as the donor.

Yes

Notification Name*

Fossil Rim will send a letter to your Honoree, or if in Memory, your designated contact, informing them of your donation. Please provide their contact information below. If you choose an anonymous donation above, your name will not be included in the notification.

First Last

Notification Address

Address where tribute card will be mailed (optional)

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

A tax-deductible one-time or recurring gift

Donor Contact Information

Donation Detail

Payment Information