Thank you for your Memorial Gift

If you are looking for a meaningful way to extend your sympathy to a mourner, send wishes for recovery from illness or congratulate someone on an important event or milestone, consider making a Tribute Donation to WMHT recognizing the person you wish to honor.

Your Information

First Name *

Last Name *

E-mail address *

Country *

Address *

Address Line 2

City *

State/Province *

ZIP/Postal Code *

Memorial Honoree Information

Is This Donation:

In Honor Of

In Memory Of

Name

Address

City

State

Zip Code

Comments

Payment Details

Checking Account or Credit Card Authorization

I authorize WMHT to deduct my Sustaining donation from the bank account or credit card submitted on this form. The first deduction will occur on or shortly after today's date and continues monthly until I notify WMHT that I wish to change or end this agreement. WMHT can be reached by phone at (518) 880-3400.

I agree.

Payment Method *

Credit Card

Checking Account

Credit card number

Expiration date

CVV

Account type

Routing number

Account number

Would you like us to renew your gift annually?

Yes! Renew my gift automatically each year at the selected level using the same payment information.

Your gift is very much appreciated and may be tax deductible pursuant to IRC §170(c). A copy of our latest financial report may be obtained at wmht.org.