Add A Plaque - Delta Hospice Society

Please fill out the form below to add a memorial plaque to our Wall of Remembrance.

Fields marked with an * are required

Divider

Personal Information

Please provide your name and email in case of any issues

First Name *

Last Name

Email *

Phone

Divider

Information for Plaque

Please add the information that you want to display on the virtual plaque

First Name (on plaque) *

Last Name (on plaque) *

Email Bereaved (Optional)

Would you also you like to make a donation on behalf of your loved one?

Plaque Message

500 of 500 Character(s) left

Your support makes a huge difference

Delta Hospice Society’s work has never been more necessary than it is now because of limited healthcare resources and an increasingly aging population. Our work is made possible entirely by donations—we receive no government funding whatsoever. Your membership and monthly giving helps us reach more families in need of caring assistance. Thank you for your generous support.

Donate