Create a Shadowbox

Your Name*

First Last

Your Email*

Your Phone Number*

Donor's Name*

Your Relationship to Donor*

I am the legal next-of-kin*

*When referring to donor families, it is Lifeline of Ohio’s practice to direct all communication and decision to the donor’s legal next-of-kin. If other family members are interested in creating a shadowbox to honor their loved one, then every attempt will be made to gain permission from the legal next-of-kin.

Phone

This field is for validation purposes and should be left unchanged.

Create a shadowbox