We invite you to honor someone special in your life with a donation that pays tribute to this extraordinary individual. Honor a family member, teacher, coach, friend, employee, customer, valued business contacts and more with a gift to AHM Youth and Family Services!

Your tribute to this special individual may be directed to support current youth and family programs or it may be placed in the AHM Children’s Trust Fund, where it will remain in this community endowment for perpetuity. Either way, your tribute will serve as a lasting legacy to the person you honor with this gift. AHM will send out a personalized letter on your behalf, along with a certificate to the person you honor. If you have any questions, call our

Executive Director,  Joel Rosenberg at 228-9488.

¨ Honorary Donation or ¨ Memorial Donation

Relation to Donor: _____________________________

Honoree Name: _______________________________

Letter to be mailed:

¨ Directly to Honoree ¨  Picked up at AHM by Donor

Honoree Address _____________________________

___________________________________________

Donor Address: ______________________________

___________________________________________

& Phone Number: ____________________________

Please make checks payable to: AHM Youth and Family Services, Inc.

Do you want your donation amount noted in the letter to your Honoree

Donation amount $______________ ¨ Yes ¨ No

Donation directed to ¨ AHM Children’s Trust Fund      ¨  AHM Current Programs

Please Mail to: AHM Youth and Family Services, Inc., 25 Pendleton Drive, Hebron, CT.06234