In Memory/In Honor Form

Donate to Celebrate Life!

This gift to East CAN is made in remembrance or honor of a beloved pet or person.
Your Full Name*

First NameLast Name
Your E-mail*
Your Phone*

Area CodePhone Number
Type of Donation*

In Memory ofIn Honor of
Honoree's Name*
Identify the pet or person you are honoring
Select One*
Who should we notify?

First NameLast Name
Recipient's Email
example@example.com
Amount*

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USDGive through PayPal
If you do not have a PayPal account, go to eastcan.org/donate and use the debit/credit card option. Be sure to tell us who and why you are celebrating this special love in your life.
Do you wish to remain anonymous?

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Comments
Please offer any details that might help us make our notification to them more special.
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Donate to Celebrate Life!