Special Occasion &
Memorial Gifts


Special Occasion & Memorial Gift Form


Enclosed is my donation of $ ____________

peace doveIn memory of _______________________________


In honor of _______________________________

For the occasion of __________________________________________________

Your name _______________________________

Address ___________________________________________________________

Person to be notified _______________________________

Your address _______________________________________________________


snuuc Circle of Religions Stain Glass
Please print and return with check to:
South Nassau Unitarian Universalist Congregation
228 S. Ocean Avenue Freeport, NY 11520