Tribute Gift Form

In Honor Of

First Name: *

Last Name: *

Address 1:

Address 2:

City:

State:

Zip Code:

Country:

Email Address:

Please notify this person of this gift in his/her name:

yes

no

Ways to Give

Memorial Gifts

Many donors choose to contribute by offering a memorial gift to honor the memory of a loved one. These gifts are in the form of cash, check or credit card authorization.

Please make checks payable to:
Lazarus House Ministries
P.O. Box 408, Lawrence, MA 01842
or donate online on the Memorial Gift page.