Please provide the following information:

Please accept my gift of Name: Off-Island address: Address: City: State:     Zip:     Country: Phone: Island address: Address: City: State:      Zip:      Phone: E-Mail:

For memorial or honorary gifts: This gift is in memory of:     This gift is in honor of: Birthday      Anniversary      Other

Please notify the person/family below of this memorial/honorary gift: Name: Address: City: State:     Zip:     Country:

Additional Information and/or Request:

Please fill in this form, print it out and mail with a check to:
Sheriff's Meadow Foundation
RR1 Box 319X
Vineyard Haven, MA 02568

Please call (508) 693-5207 for additional information.