Donations in the Name of Someone Special

donate

Donations can be made in memory of a child, family member, friend or someone special to you. Angela’s House will send a personalized letter to whomever you choose, notifying them of your gift.

Online Donation: Fill out the form to submit an online donation.

Donation via check: Please mail a check to: Angela’s House, PO Box 5052, Hauppauge, NY 11788.

Please include a note of the person the donation is made in honor or in memory of, and let us know If you would like us to send a notification including the name and address.

"*" indicates required fields

Step 1 of 2 - Info

Enter a Donation Amount ($USD)*

Please Select One:*

In Memory of (for those who have passed on)

In Honor or Celebration of

In Lieu of Flowers

Other

Other*

Of:*

First Name Last Name

Your Contact Information

Name*

First Last

Company/Organization

Phone Number*

Email Address*

Would you like us to notify someone of your gift?*

Yes

Notification Recipient Information

Notification Recipient Name (e.g, John Doe, Doe Family)*

Notification Recipient Address*

Street Address Address Line 2 City State ZIP Code

Optional Message for Notification Recipient

Donations in the Name of Someone Special

Your Contact Information

Notification Recipient Information

Billing Address

Payment Information