506-433-1176 info@wallacefuneralhome.com Sussex NB

Donations Form

To notify the family that you have made a donation in memory of a loved one, complete this Online Memorial Donations form and we will forward a donation card to the family on your behalf. Please send your donation cheque directly to the organization. You can find a list of mailing addresses here.

In Memory Of*:

Enter name of the deceased

Charity Name*:

Phone Number*:

If Other Please Specify:

Enter Charity Name

Donor Salutation:

Please enter how you wish your card to be signed.

Your Name*:

Full Address

Address:

City:

Country:

State/Province:

Zip/Postal code:

Email:

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Donations Form

Please fill in the following information

Full Address