Amount of Donation:
My donation is a
one time donation
In Memory or honor:
Our Memorial program is for those who wish to make a donation in memory or in honor of a family
member or friend who has passed away. Your gift will be acknowledged, and we will also inform the
individual or family of the honoree that the gift has been made without revealing the contribution
How would you like your donation used?
Please select from the list below. If more than one item is selected, your donation will be divided equally between those areas.
Where the Need is Greatest
Elks Rehab Hospital
Elks Hearing & Balance Center
St. Luke's - Elks Rehab
Elks Wound Center
St. Luke's - Elks Children's Rehab
(hold the ctrl key to select multiple)
Additional comments or directions, if any:
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