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Bright Futures Gala Tribute Message

Yes! I would like to send a message in honor or memory of someone.*

Your message (25 words or less) will appear in the gala program.

Tribute Message ($500)

Help us put every dollar to work for MJDS...

...by offsetting the processing fee for your payment. To avoid a processing fee, you may send a check to: MJDS, Attn: Jeffrey Bern, 6401 N. Santa Monica Blvd., Milwaukee, WI 53217. Thank you!

Yes! I would like to offset the processing fee.

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Please write your message as you would like it to be printed.

Due to space constraints, all tribute messages must be 25 words or less.

Your Information

Family/Corporate name:

Please indicate exactly how it should be listed in any print materials.

Contact name:

Address

City

State

Zip

Contact Phone

Contact Email

Thank you for supporting MJDS!

Note: You will be directed to PayPal to complete this transaction.

Please send a confirmation email to the address below*: