Create a Memorial


For a Memorial Gift, please fill out the form below:


Your Information
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Last Name  
Email Address  
Street Address  
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Memorial:
In Memory of:       

Memorial Card to be sent to:
First Name  
Last Name  
Email Address  
Street Address  
City  
State Zip  
Phone  

Questions?
Please call Lisa Lennick at (323) 766-2360 ext. 3360.

The Los Angeles Child Guidance Clinic is a private nonprofit organization. Donations are tax deductible to the extent allowed by law. Credit card transactions are secure. Private information is never shared by the Clinic.

THANK YOU FOR YOUR GENEROUS SUPPORT!

 
  2005 @ LACGC - ALL RIGHTS RESERVED