Form – Legacies Tribute Journal

Purchaser's First and Last Name*
First Last
Email*
Please add your Tribute Journal Information below
Legacies Tribute Journal
Consider sharing your message by contributing to our Tribute Journal. Your entry will be featured on this event website, on our social media streams (per your wishes), and as part of a large-screen slideshow at the LiLY Legacies Gala. Our Journal is a powerful way to honor an elder who helped shape your life.
Tribute Journal Ad Options*
- Bravo (Frequently displayed custom ad) ($500)
- Celebration (Custom ad) ($250)
Photo or Logo
LiLY welcomes you to share an image or logo (as well as your message as indicated below) for your journal ad. Please submit (jpeg, png) here. If you would like to prepare your own custom ad, please see Ad Specs and send it to us by September 23. Any issues? Please email to lilylegacies@gmail.com. Thanks!
Name of Company, Organization, Individual or Family Displayed in Journal
Tribute Journal Ad Message
Submit your personal message to voice your tribute to an honoree or honor a loved one.
Phone
I would like to make a donation of
Total
$0.00
Payment Methods
- Pay by Credit Card Online
- Pay by Check
Please select your payment option above. If paying by check, you will receive an invoice via email.
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Card Number Expiration Date Security Code Cardholder Name
Name
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Please add your Tribute Journal Information below