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Honorariums, Memorials and Gifts 

       

 

Complete the form below to make a tax-deductible donation in honor or memory of someone special

Kind of donation
Your Name
Your Address
Your City, State, Zip
Your Email Address
Honoree's Name
Honoree's Address
Honoree's City, State, Zip
Honoree's Email Address
Kind of Acknowledgement

Date of Donation
Amount of Donation
Please answer the simple math question below to submit the form.
2 + 2 =

If you have more than one honoree, please email their names, addresses and email addresses along with your information to lburwell@hopevillagems.org

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Partially funded by Mississippi Department of Human Services, the Mississippi Department of Mental Health,
and the Mississippi Department of Public Safety. Hope Village is a proud United Way agency.