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Special Occasion Giving

Many people find great satisfaction in making a gift in memory of a friend or loved one.  A special occasion gift is also a great way to let someone know that you are thinking of them on their special day.

When your gift is received, we will send a tribute card to whomever you designate and you will receive an acknowledgement of the gift.

Please print out and complete the form below with your check payable to the Mental Health Association, Inc. 16 Main Street, Hempstead, N.Y. 11550, or call 516-489-2322, ext.1338 if you prefer to pay by credit card.

 

Donor Name:

 

Address:

 

City:

 

State:

 

Zip:

 

Telephone Number:

 

Email Address:

 

Donation Amount: $

 

Occasion:

 

Name of Honoree or Memorial:

 

Send Notification of this Gift to (optional):

 

Address:

 

City:

 

State:

 

Zip:

 

All contributions are tax deductible to the full extent of the law.