Gift of Light Form

Gift of Light

Recipient Information:

Name
Address
If you're not sure whom to help, that's okay! We can help direct your gift to a family in need within our service area. If you'd like us to do this, simply check the box below and leave the recipient information blank.

Your Information:

Name(Required)
Address(Required)
Please enter a number greater than or equal to 1.
Would you like to remain anonymous to the recipient?(Required)