Make a Memorial Gift to

MADD Ohio

All contributions are tax deductible. You may mail your memorial donation to:
                     MADD Ohio
                     5900 Roche Drive, Suite 250
                     Columbus, Ohio  43229-3277

NOTE: You may fill out this form before printing or
simply print the page and fill it out later.

When your gift is received...

You as the donor will receive...

...a lovely card is sent to the family stating Our organization has received a donation in the memory of <name of victim>. Gifts to MADD are used for victim services, youth programs and community awareness including support of changes in the criminal justice system.

... an acknowledgement card saying Thank you for your contribution in the memory of <name of victim>. An acknowledgement card has been sent to the family. Gifts to MADD are used for victim services, youth programs and community awareness including support of changes in the criminal justice system.

(Gift donor name & address are noted but dollar amount of contribution is not included.)

 

Enclosed gift amount:

Donation in memory of:

Memory Card receiver:

Receiver’s address:

     City:

     State:

     Zip code:

Your name:

Your address:

     City:

     State:

     Zip:

E-Mail address (optional):