Tribute Information

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Golden Corner Food Pantry Tribute Donation Information Form

Thank you for choosing to honor someone special by making a contribution to the Golden Corner Food Pantry. First, we will collect information about your intended donation, yourself, and the honoree for whom you are making your donation. This information will ONLY be used for processing and handling your donation. It will not be shared nor used for any other purpose.

After you submit this form, you will be provided our standard donation button to make your online donation.

Information about you

First Name:* Last Name:* Email Address:* Enter Email Address Again:* Phone Number: Street Address:* City:* State:* Zip Code:*

Informaton about your donation

Name of Honoree:* Total Amount you are Donating:*

If you'd like an acknowledgement sent to someone in addition to you, provide the name and address here:

Name: Street Address: City: State: Zip Code:

Addtional Information, if necessary:

*Fields marked with a * are required.

To enable the Proceed to Donation Page button, show me you are a human by passing this test:
Are you a robot (yes/no)?

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