The Compassionate Friends Rochester, NY

LOVE DONATIONS

If you would like to make a tax deductible love gift donation in memory of your child, or a special loved one, you may send it to:

TCF Rochester New York Chapter
c/o Barb Silverstein
130 Portview Circle
Rochester, New York 14617

Please include the following information with your donation:

LOVE GIFT SENT FROM ______________________________
IN MEMORY OF ________________________________________
RELATIONSHIP ________________________________________
LOVE GIFT ON OCCASION OF (please check one)
BIRTHDAY _____ REMEMBRANCE DAY _____ Other _____
BIRTH DATE _______ DATE OF DEATH _______
AMOUNT OF DONATION $_____________

Would you like a note sent to the family ? (Y/N) _____

If yes above please provide the address below:

______________________________________________

Please make checks payable to The Compassionate Friends of Rochester.