Give a gift in honor of a friend or loved one.

Honor a special friend or a loved-one's memory with a gift in their name. It's a wonderful way to say how much you cherish them and your shared interest in choice at life's end. We will notify the person you honored, or the family of the person you memorialized, with the good news about your contribution to Compassion & Choices in their name.

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Amount

$25 $50 $100 $250 $500 $1,000 Other $

Make this contribution: Frequency (Optional) Monthly

I'd like to make this contribution in honor or in memory of someone

Is this an Honorary or Memorial Gift?

In honor of In memory of

Honoree Name

I'd like to notify someone of this contribution

Who would you like to notify?

A message will be sent to the recipient to inform them of your contribution.

First Name Last Name

Street Address (Optional)

Country (Optional)United States Postal Code (Optional) City (Optional) State/Province (Optional)

Email (Optional)

Message (Optional)

Details

First Name Last Name

Street Address

Postal Code City State/Province

Email Home Phone (Optional)

(Optional)

Payment

Card Number

Expiration Date

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Contribution Amount:

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Mail contributions directly to:
Compassion & Choices Gift Processing Center
PO Box 485
Etna, NH 03750

Compassion & Choices
8156 S Wadsworth Blvd #E-162
Littleton, CO. 80128

(800) 247-7421