Lyme Treatment Foundation Honor & Memory Giving Form

Celebrate a life. Honor a journey. Remember a loved one.

There are people who change us forever - through their strength, their love and the battles they fought. By making a tribute gift, you are keeping their story alive and helping others who are still fighting Lyme disease.

Your generosity supports critical care, research and hope for families and individuals facing this illness. Thank you for tyurning rememberance into impact.

Tribute Donation Type

Donation Type:

To make an online donation, click LTF Honor & Memory Giving

If you would like to mail in your tribute donation, our mailing address is:

Lyme Treatment Foundation, Inc.

102 N.E. 2nd Street, Suite 907

Boca Raton, FL 33432

As a reminder, The Lyme Treatment Foundation, Inc. is an all-volunteer 501(c)(3) non-profit organization and all tribute donations are fully tax-deductible. Our tax ID number is: 83-1423577

Your Full Name (Optional)

First NameLast Name

Your Email Address (Optional)

example@example.com

Your Phone Number (Optional)

Please enter a valid phone number.Format: (000) 000-0000.

Your Mailing Address (Optional)

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Who Are You Honoring With This Gift?

Name of Honoree (Person being celebrated)

Name of Honoree (Person being remembered)

If You Would Like, You May Share A Few Words About This Person

Recipient Name (Who should receive the acknowledgement, if they'd like to be acknowledged)

Recipient Mailing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Recipient Email (if you prefer email acknowledgement)

example@example.com

Preferred Method for Sending Acknowledgement

If you would like to include a personal message to be shared with the recipient or family, please write below.