In memoriam donation

Your donation in memory of a friend or loved one will give the gift of exercise to someone living with cancer. We invite you to use this form to make an "in memoriam" donation.

Please fill in the information on this page, then click to the next page to review your information and enter your donation.

You can also let us know below if you'd like us to create a link you can email to other people who might also want to donate in honor of the same person -- we will email that link to you.

Please note: We do not share contact information with other organizations.

Thank you -- we are extremely grateful for your support!

Step 1 of 2: Register your memorial gift

Please fill in all the information below. (* = required field)

Your name* :
Your email address* :
Name of the person you wish to honor* :
Would you like us to send you a link to this page for others to also make a memorial donation?
	Yes, please send a link
Your donation amount:
Your phone number: (including area code)
Street:
City:
State:
Zip:
Please enter any additional information, comments or questions here:
Please choose your payment option below:
Pay now by credit card using PayPal OR 2) Send us a check by mail at: Sunflower Wellness 234 Grand View Ave. San Francisco, CA 94114
When you click the "send" button below, you will have a chance to confirm the information you have entered.