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Memorial Gifts
September 2, 2010
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Healthy Kids of Santa Cruz County Insurance Fund
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Memorial Gifts
You can make a gift in honor or in memory of a special person. The Foundation will notify the appropriate person of your thoughtfulness with no dollar amount mentioned.
Donation Amount:
Enter an amount: $
* Denotes required field.
Address & Optional Fields
Name:
First Name*
M.I.
Last Name*
Street:*
City:*
State:*
Alabama
Alaska
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Iowa
Kansas
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Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:*
Phone:*
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Email Address:*
This gift is in memory of someone.
Person being memorialized:
Please notify the following person of this memorial gift:
Name:
Address:
Street:
City:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
This gift is in honor of someone.
Honoree Name:
Address:
Street:
City:
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip:
Special Instructions:
Attention: A gift, once accepted by the Board of Directors, represents an irrevocable contribution to the Community Foundation of Santa Cruz County and is not refundable. All gifts will be acknowledged by mail. The Foundation is a nonprofit organization incorporated in accordance with section 501c3 of the Internal Revenue Service Code. Our tax identification number is 94-2808039.
By clicking Submit you have authorized the Foundation to process your gift. For your protection, all transactions are processed through our Verisign secure site.
Privacy Policy: We respect your privacy. All information collected will be kept strictly confidential. We have put into effect appropriate procedures to safeguard and secure the information we collect online. The Foundation does not share or release individual personal information with other organizations.