Valentine's Non-Event 2022

YOUR DONATION WILL ENTER YOU TO WIN
ONE OF TWO GIFTS BASKETS!

Make your donation by February 1st to be eligible to win the
Early Bird Gift Basket valued at $500.

All donations received by February 14th will make donors eligible to win the
Grand Prize Gift Basket valued at $2,000.

Gift Basket Drawings will be held at 3 pm on February 1st and February 14th.

Select a donation amount below:

Donation

$50.00

$100.00

$200.00

IN ADDITION, I would like to be a Valentine to a senior in need:

Choose one (Optional)

2 Days of meals ($24)

1 Week of meals ($60)

1 Month of meals ($250)

1 Year meals ($3000)

Total Amount

Valentine's Donor Information

First Name *

Last Name *

Street Address

City

State

Postal Code

Phone *

Email *

I WOULD LIKE TO MAKE MY DONATION IN HONOR/MEMORY OF:
A special acknowledgment card will be mailed to your honoree.

This donation is one of the following:

In Honor

In Memory

Please enter the name of the person you are honoring or memorializing below.

Honoree's Name

Please enter the mailing address of the person you are honoring or family of the person memorialized so that we may acknowledge your gift.

Honoree's Street Address

Honoree's City

Honoree's State

Honoree's ZIP Code

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