Bereaved Families of Ontario - Durham
"Bereaved, helping the bereaved to learn to live with grief. We can help the healing begin."
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Fall 2011
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In Memory
If you would like your loved one remembered here, please fill out the short form below, including the pledge amount of your donation. Then drop off or mail your donation to us at:
BFO - Durham Chapter,
1050 Simcoe Street North,
Oshawa
, Ontario
L1G 4W5
Do not enter anything in this text box otherwise your message will not be sent!
First name**:
Last name**:
Amount of MEMORY PAGE Donation Pledged**:
Street Address - Number & Name**:
Street Address - Apartment/Unit:
City/Town**:
Province**:
Postal Code**:
Phone:
Email**:
**:
Name of Loved One**:
Message About Loved One (max 250 words**:
(** Required Fields) td>