Memorial or Honor Donation

Please enter your donation amount and your donor name and address below. Following your donor information, you will find fields to add the name of the individual for whom this donation is being made and fields for specifying an individual to be informed of your contribution.

Donation Amount:

Donor Information

Donor Prefix: Donor First Name: Donor Last Name: Donor Address: City: State: Province (Foreign) Zip Code: - Country: Donor Email: Donor Phone:

Tribute Information

Is this an Honor or Memorial Tribute?: Tribute Name:

Acknowledgee Information

Individual who you would like to be informed of your donation. (All fields are optional)

Acknowledge To: Address: City: State/Province: Zip Code: - Email: Phone: Additional Notes (optional):

This is a one time donation

Make this a recurring donation deducted

Lemon Bay Conservancy, Inc., is a 501(c)3 non-profit corporation with its principal place of business in Florida. Contributions to the Conservancy may be tax deductible to the extent provided by law. A COPY OF THE OFFICIAL REGISTRATION (CH14541) AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE, WITHIN THE STATE, 1-800-HELPFLA, OR VIA THE INTERNET AT WWW.800HELPFLA.COM REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

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