Donation Information

First Name
Last Name
Address
City
State
Postal Code
Country
Address
City
State
Postal Code
Country

$10 Donation

$10.00

$20 Donation

$20.00

$50 Donation

$50.00

$100 Donation

$100.00

Choose Your Own Amount

$

Donations may also be mailed to:

Senior Wishes
One Fox Run Lane
Orchard Park, NY 14127

Please make checks payable to UCHS