The Legacy Award

The Legacy Award will be presented to a Donor Family who has made a significant contribution to furthering LifeCenter’s mission and vision in honor of their loved one. Please submit this application by October 17^th.

Your Information

First Name

Last Name

City

State / Province / Region

Phone

Email

How do you know your nominee?

Nominee Information

First Name

Last Name

City

State / Province / Region

Phone

Email

In 200 words or less, explain how your nominee has made a significant contribution to furthering LifeCenter’s mission and vision in honor of their loved one.

In 200 words or less, give a brief biography of your nominee.

Our Location

Phone

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Your belief in our mission is changing lives.

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