Thank you for your tribute.

Making a memorial or tribute gift is a meaningful way to remember and honor family and friends, while supporting WITF’s mission. Thank you.

You will receive a confirmation email when you complete your transaction.

Please Select: *

In Honor Of

In Memory Of

Gift Amount:

Please input your tribute gift amount: *

Other

The amount of your contribution will not be disclosed to the honoree or next of kin

(minimum $5.00)

Your Information

First Name *

Last Name *

E-mail address *

Country *

Address *

Address Line 2

City *

State/Province *

ZIP/Postal Code *

Payment Details

Checking Account or Credit Card Authorization

I authorize WITF to deduct my Sustaining donation from the bank account or credit card submitted on this form. The first deduction will occur on or shortly after today's date and continues monthly until I notify WITF that I wish to change or end this agreement. WITF can be reached by phone at (717) 704-3000.

I agree.

Payment Method *

Credit Card

Checking Account

Credit card number

Expiration date

CVV

Account type

Routing number

Account number

Honoree / Next of Kin Information

Name(s) of Deceased or Honoree

Name(s) of person(s) to notify of your gift: *

The amount of your contribution will not be disclosed.

Address of the person(s) to notify

City

State

Zip/Postal Code

Message to the Honoree or to the Next of Kin

Occasion (if applicable)

The official registration and financial information of WITF, Inc. may be obtained from the Pennsylvania Department of State by calling toll free, within Pennsylvania, (800) 732-0999. Registration does not imply endorsement.