Please send an email to Cathy.Warren@DonateLifeMichigan.org with the following information so that we can acknowledge your donation.

My gift of $_________ has been submitted.
Donor’s Name: _______________________________________
Address: ______________________________________________
City: ___________________ State: _____ Zip: ______________

To make your gift a memorial or honorary tribute, please complete the following:

In memory of: _________________________________________
In honor of: ____________________________________________
Commemorating: ________________________(birthday, anniversary, get well or other occasion)

Send acknowledgement to:
Name: _________________________________________________
Address: ______________________________________________
City: ____________________ State: _____ Zip: ____________

Thank you for your tax-deductible contribution.
Donate Life Coalition of Michigan
is a 501 (c) (3) non-profit organization.