Tribute Form

Thank you for your generous gift!

Complete this optional Tribute Form if your gift was given in honor of a living person or in memory of someone.
 
Note: This Tribute Form does not complete payment for your donation to Epworth. Give your gift now by visiting the Donate Page.
 

Your Name (required)

 

Phone Number (required)

 

Your Email (required)

 

First Line of Billing Address (required)

 

Tribute Information

My gift was given

 

On the occasion of

 

Please inform the following that I have made a tribute gift in their honor or in memory of their loved one:

Name

 

Address 1

 

Address 2

 

City

 

State

 

Zip Code

 

Publication Information

I would like to remain anonymous. This means I would like not to receive public recognition for my gift or see my name in Epworth publications.
 

Publicly Appearing Name (if preferred):

 
Note: If you prefer to remain anonymous, please leave this field blank and check the box above to withhold your name from appearing publicly.