AOSHS Memorial Fund

P.O. Box 4312

Scottsdale, AZ 85261

To establish a memorial fund, please complete this form and return it to the address above.

Your name _______________________________           Date _______________

Address____________________________________________________________

City/State/ZIP ______________________________________________________

Telephone (_____)_________________ E-mail____________________________

Name of  honoree (include title if appropriate)

Honoree _______________________________________________________

Dates of birth/death ______________________________________________

Check those items below which apply. Numbers 1 and 2 are mandatory.

___ 1. Enclosed is a 100-300 word biography to be used as an announcement in the

 next issue of the AOSHS newsletter and on the kiosk.

___ 2. Enclosed is my check in the amount of $ _________ to open this memorial

 account (minimum $25.00)

___ 3. Enclosed is a photo of the honoree. (cannot be returned)

___ 4. I will submit a photo of the honoree when the memorial fund is closed.

___ 5. I do not intend to include a photo.

After this form is received, the fund will be announced in the next two issues of the AOSHS newsletter. When the fund closes, you will be notified as to the amount collected and asked to provide an inscription for the paver of your choice. 

If you have any further questions regarding establishing this fund, please contact me as noted below, or write to the address at the top of the page.