CiviCRM - Seatuck Environmental Association

Have your name (or the name of a loved one) become a permanent part of Seatuck’s home at the Scully Estate and support Seatuck’s work to conserve Long Island wildlife and the environment.

Stone Size *

24" x 24" Stone: 4 lines @ 18 characters / line - $ 1,000.00

18" x 24" Stone: 4 lines @ 12 characters / line - $ 500.00

12" x 24" Stone: 2 lines @ 18 characters / line - $ 250.00

12" x 18" Stone: 2 lines @ 12 characters / line - $ 150.00

Total Amount

Gifts In Honor or In Memory of Someone

If you are making this donation in honor or in memory of someone, please provide the following information:

In Honor of In Memory of

Select an option to reveal honoree information fields.

Individual Prefix

First Name

Last Name

Email Address

Note

FC Bluestone Project

Note: Character limit includes spaces and punctuation.
All lines and text will be centered on the stone.

Line 1

Line 2

Line 3

Line 4

If this donation is in honor or in memory of someone, please indicate if you would like an email to be sent to the honoree or family.
Be sure to include an email address above for the recipient of the email.

Gift Notification

Yes No

First Name *

Last Name *

Email *

Street Address *

City *

State *

Zip Code *

Country *

Contribution Note

Authorize.net (Credit Card)

Card Type

Card Number *

Security Code *

Expiration Date *

My billing address is the same as above

Billing Name and Address

Billing First Name *

Billing Middle Name

Billing Last Name *

Street Address *

City *

Country *

State/Province *

Postal Code *