Memorial and Tribute Cards

Complete the form below and send along with your contribution to: HDSA/Illinois Chapter "Memorial/Tribute", P.O. Box 8383, Rolling Meadows, IL 60008


     I (We) would like to make a contribution in memory of: ____________________

     My Name ___________________________________________________________________

     Address/City/State/Zip ____________________________________________________

          Amount of Contribution $______________________


     I (We) would like to send a special events greeting (birthday, new home,
     anniversary, graduation, etc.) in honor of: _______________________________

     My Name: __________________________________________________________________

     Address/City/State/Zip ____________________________________________________

          Amount of Contribution $______________________


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Last updated: Nov. 14, 2010