Please print this page and bring or mail the completed form to the ECS office.

I/we would like to give a gift to Emporia Christian School "in honor of" or "in memory of" a loved one.  Please find our gift enclosed with this form. Gift amount $______ In Memory Of: _______________________________________            City/ State______________________________________ In Honor Of:_________________________________________            City/ State______________________________________ Occasion: ____Birthday                   ____Graduation                   ____Anniversary             ____Other_______________ Send Card To: Name:_____________________________________________ Address:___________________________________________ City/ State/ Zip______________________________________ Given By: Name:_____________________________________________ Address:___________________________________________ City/ State/ Zip______________________________________ ______Wish to remain anonymous