In Memory Donation

Remembering someone special with a gift in their name will support the home that they lived in and will be a lasting memory of your loved one. Gifts of $250+ from friends and relatives will put your loved ones name on our donor wall forever.

Upon receipt of your gift, we'll send a card to the next of kin in acknowledgement of your kind gift (the amount remains confidential)

In Memory of:
Special instructions and/or personal message:

Gift Notification

We can send an acknowledgement card of your gift, please provide their information below.

Your Information

Salutation:
Dr.   Mr.   Mrs.   Ms.  
First Name:
 *
Last Name:
 *
Address Line 1:  *
Apt/Suite:
City:  *
Province / State:
Postal Code / Zip:  *
Country:
Phone:  *
Email:
(for receipt)
 *
Donate to:
Donation Amount:  $25
 $50
 $75
Or Other Amount $:  *
Amount should be only in numbers

We incur a small processing fee which is deducted from the full amount of your donation. Would you consider paying this small fee on behalf of Kinsmen Lodge?

Include Fee: Yes   No
Total:
$  
Donate Anonymously?:
How did you hear about us? (choose one):
If 'Other', please specify: