Light Up a Life Donations

Donation Amount(Required)

Other Donation Amount

The minimum donation amount is $15.00

My donation is:(Required)

In memory of someone who has died

In honor of someone still living

Other

Name of Person(s) Donation is in Memory/Honor of

First/Last Name of Person(s) Acknowledgment Card will be sent to

Aknowledgment deliverey

How would you prefer the donation acknowledgment card be delivered?

Mailed, sent via USPS

Delivered via email

Both Options

Mailing Address for Above (for having acknowledgment card sent via USPS)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email Address for Above (for having acknowledgment card delivered via email)

Donor Comments

Donor Information

Phone

Name

First Last

Organization

Enter Email Confirm Email

Address

Street Address Address Line 2 City State ZIP Code

Billing Information

Name

First Last

Enter Email Confirm Email

Billing Address(Required)

Same as Donar Address?

Street Address Address Line 2 City State ZIP Code

Total

Credit Card(Required)

Other ways to Donate:

Flat Donations

Make a one time donation.

GIVE NOW

Monthly Giving

Set up an automatic donation that can be changed or canceled at any time.

GIVE NOW

Tributes, Memorials

Make a donation in honor or memory of someone.

GIVE NOW

Light Up a Life Donations

Donor Information

Billing Information

Other ways to Donate:

Flat Donations

Monthly Giving

Tributes, Memorials

Address

Oregon Hospice & Palliative Care Association (OHPCA)
Post Office Box 592
Marylhurst, Oregon 97036

Phone

503.228.2104

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