Tree of Life Gift Form

Name of person to be honored___________________________________________________

Reason for tribute (Memorial, birth, special occassion, etc.)______________amount of your donation_________

Please mail notification of this tribute to:

      Name________________________________________

      Address_______________________________________

      CityStateZip____________________________________

This donation is from:

      Name________________________________________

      Address_______________________________________

      CityStateZip____________________________________

      Email_____________________________________________Phone___________________

   Mail or bring this completed form to:

   The Wilderness Center, Inc.

   P O Box 202

   Wilmot, Ohio 44689

If you have questions, please e-mail Laurie Howard at: laurie@wildernesscenter.org or call (330) 359-5235

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