Light Up A Life Donation

Step 1: Submit Donation Information

Please fill out the form below with your donation information.

My tax-deductible contribution of $ will go to Light Up A Life.
* Suggested donation for each memorial/honoree: $25
Your First Name *
Your Last Name *
Address *
City *
State *
Zip *
Email Address *
Phone
Please place a symbolic ornament on the tree in celebration of:
Send acknowledgement of this gift to:
First Name
Last Name
Address
City
State
Zip

After submitting your donation information, please scroll up in your browser to continue to Step 2.