Please print this page, and mail to the address below.

Donations are tax-deductible.

   
  Enclosed is my donation of (please check or fill in):  
  $1,000____ $500____ $100____ $50____ $25____ $15____ $________  
   
  My Name:__________________________________________________________  
  Address:___________________________________________________________  
  City:___________________________State:__________ Zip Code:_____________  
  Daytime Phone: (___)-______________  
     
  My donation is in memory/honor of______________________________________  
  Please send an acknowledgement card to:  
  Name:_____________________________________________________________  
  Address:___________________________________________________________  
  City:___________________________State:__________ Zip Code:_____________  
     
 

Please make checks payable to:

The Alcove, Center for Grieving Children & Families

376 Tilton Road - Rear

Northfield, NJ 08225