Memorial
| Remember a Loved One . . . or Honor that Special Person by donating to the Montana Lions Sight and Hearing Foundation. What better way to remember or honor someone than having your donation live in perpetuity! Your Memorial or Honorarium donation to the Montana Lions Sight and Hearing Foundation is never spent, only the interest earned on these assets will be used to further the purpose of the Foundation |
Donated By: ______________________________ Amount $ _________
____________________________________________________________
Street Address City State Zip
=====================================================
_____ In Memory of ___________________________________________
Name (Please Print Clearly)
_____ In Honor of _____________________________________________
Name (Please Print Clearly)
Occasion for Honorarium: ________________________________________
Send Letter To: _______________________________________________
Name (Please Print Clearly)
____________________________________________________________
Street Address City State Zip
Please make check payable to Montana Lions Sight & Hearing Foundation. Send Payment to
Dennis Kopitzke
Box 1266
Forsyth, MT 59327
*To download the
above click on pdf button
and save to
file or print.
Home | Board of Trustees | Fellowship | Financial Assistance | Honorarium | Life Membership | Links | Memorial | Programs | Recognition Lists | Lehman and Tschache Fellowships
