Make a Memorial Gift or In Honor of Gift

A Memorial Gift in memory of _____________________________________________

Gift in Honor of __________________________________________________________

(Please print the name as you wish it to be listed )

Make checks payable to: The Ukrainian Cultural Center of Syracuse, Inc.

Address: Syracuse Ukrainian National Home

1317 West Fayette Street

Syracuse, NY 13204

(All gifts are tax-deductible. Registered in New York as a charitable, non-profit 501 © 3 corporation.)

Your name____________________________________________________

Address_______________________________________________________

City ___________________________State_______ Zip Code ___________

Telephone ________________________________________

e-mail ____________________________________________

Amount of contribution ___________________

We will send you an acknowledgement of your contribution.