In Memorium
In Memorium
Mr Ms Mrs Mr & Mrs Miss Dr
First Name
Last Name
Number and Street
City
State
Zip
e-mail address
Telephone
Amount of Donation
Option1 - This gift is in memory of:
Name of Deceased
Please notify:
Name
Number and Street
City
State
Zip
Relationship to deceased
Option 2 - This gift is in honor of a special person
Name of Honoree
Number and Street
City
State
Zip
e-mail address
Comment
Post or eCard
Upon receipt of each donation, TRC Foundation will send a personalized paper card by regular mail to recipients. If you would prefer, we can send an e-card. Your e-card will be delivered as soon as we receive your donation. For all questions, please contact Karen LaSota at 716-661-1518 or email trcklasota@alltel.net
Post card eCard

Payment
If you would prefer to mail your donation, please make your check payable to TRC Foundation and write the person's name in the MEMO line. Print a copy of this form and mail it and your check to TRC Foundation, 880 East Second Street, Jamestown, NY, 14701
Membership
I understand that by making a donation, I qualify for membership in The Resource Center, and as such I am entitled to all of the benefits of membership.
I decline membership

We Respect Your Privacy
The information you submit is deemed confidential. We do not share nonpublic personal information except as required by law and we will continue to protect your privacy.
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Serving persons with disabilities and other social and economic disadvantages, and their families, in Chautauqua County, New York