Living Tree Donation

The Living Trees are permanent works of art located in the main hallway of the Stein Hospice Care Center and across from the chapel on the 3rd floor. By purchasing a Living Tree Leaf you memorialize or honor a loved one and support the continued growth and development of the Stein Hospice Care Center. The cost of a leaf is a one-time donation of $500.

Download a fax/mail-in form.

Required fields are marked with a *.

• Each leaf can be engraved with up to 32 characters (including punctuation and spaces). The engraving is two lines, with up to 16 characters per line.

  Example
• Amount:
• First Line characters left
• Second Line characters left

• Notification Information

  Whom should we send notification of this gift to?

• Names & Addresses:

Billing Information

First Name:

Last Name:

Billing Street Address:

Billing City:

Billing State: Choose One ALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENV NHNJNMNYNCND OHOKORPARISCSDTNTXUTVTVAWAWVWIWYOther

Billing Zip Code:

Billing Phone Number:

Billing Email Address: ?

An email address is needed to send a receipt to. We will not use your email address for anything else.

• Credit Card Information

• Card Type: Choose One VISA MasterCard Discover American Express
• Account Number:
• Expiration Month / Year

  01 02 03 04 05 06 07 08 09 10 11 12

  2021202220232024202520262027202820292030203120322033
• CVV Code from back of card:
• Please fill all required fields.

Thank you.

We appreciate your support!
Contributions are tax-deductible to the extent permitted by law.
Stein Hospice is a not-for-profit 501(c)(3) organization.