Gifts and Tributes

Gifts and Tributes

We know you are busy, but there are people or organizations in your life that you may want to recognize either because of their passing, as a memorial to their service to the blindness community, or to recognize someone or an organization who was a mentor to you, to others, or contributed to the field of blindness in a special and unique way.
Name of person completing this form

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Type of Gift/Tribute

Memorial of a person or organizationSpecial RecognitionOther
Name of person or organization to be memorialized or recognized
Reason for this memorial or recognition
Once you edit the form and click submit you will be directed to the payment page where you can enter a donation amount.

After the information has been verified a confirmation will be sent to the email address you provide. The name of the person offering the tribute, and the recognized person or organization will be added to Gifts & Tributes in the next issue of the JOURNAL.
Payment Type

Check or Money OrderDebit/Credit CardPayPal

Donation Amount
If you wish to pay by check or money order

Please make check payable to CTEBVI and mail with this form to:

CTEBVI, c/o Cristin Lockwood, PO Box 1084, Edmond, OK 73083-1084

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Card Expiration

Security Code

Please click one of the PayPal options to complete payment and submit the form.