Honor & Memorial Donation Gift Form

Please fill out the form below and hit submit

If you have questions about gift memberships, please contact Alex Shandera at 484-945-0200 or email ashandera@schuylkilllriver.org.

THIS DONATION IS FROM:
Name*
First Last
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
THIS DONATION IS FOR:
What kind of donation gift is this?*
Name of Honor Donation Gift Recipient*
First Last
Name of Deceased*
First Last
Would you like your loved one's name published on the SRG website?*
If you answer yes, then name of the individual this donation was made in honor of or in memory of will be published on a special page of the SRG website as another way to recognize the person. You will also have the opportunity to add a special message and photo to go along with the published name.
Personal Message
You have the option to add a personal message that will be published on the SRG website along with name of your loved one. If you would like to add a message, please do so in the box above.
Please upload a photo of your loved one (Optional)
You have the option of uploading a photo of your loved one to go along with their name which will be published on the website.
Would you like the donation to be entered as a membership?*
Honor and Memorial Gift Donations of $25 or more are automatically entered as membership donations or renewals to The Schuylkill River Greenways National Heritage Area. For information about membership benefits, visit SchuylkillRiver.org/donate. If you are the individual giving a honor or memorial donation and would prefer to donate without becoming a member, please select the "no" option.

THIS DONATION IS FROM: