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Windsong
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All gifts are tax deductible.
 Make checks Payable to:

Yes, I want to honor an aborted child with a brass plate.  Enclosed is my gift of $
$35 donation (or whatever you can afford)
(Plates on the "Wall of Names" are for aborted children only)

Yes, I want to support the national Memorial for the Unborn. Enclosed is my gift of $

First Line (Up to 25 characters)

Second Line (Up to 30 characters)

Third Line (Up to 30 characters)

A duplicate brass plate for your personal remembrance or placement in a local memorial site is automatically included.
Check here if you need two duplicates. (We must ask that this be limited to those who are keeping a third plaque for their local site.)

(Use a separate form for each brass plate)

This information is kept confidential.
Name  
Address  
City  
State     Zip