GO BACK TO THE TRIBUTE CARD DESCRIPTION PAGE On the form below, please enter a. The specific card number, b. In Honor or In Memory of Name(s), c. The Name(s) and Address of the Recipient, d. Any Special Requested Language Changes. Enter your name, address and contact information. Check the amount you intend to donate to the BallenIsles Charities Foundation. Select whether you intend to pay by check or by club charge. If you select club charge, please then enter your member number. After you submit the form, we will email you a confirmation of your order. NOTE: Please make donation checks payable to the BallenIsles Charities Foundation. You can mail your check to us at 100 BallenIsles Circle, Palm Beach Gardens, FL 33418 or drop off at the Concierge Desk in the Clubhouse. If you have any questions, please email us at tributecards@BallenIslesCharitiesFoundation.org.Order InstructionsTribute Card Type and NumberIn Honor / Memory of Name(s)Recipient’s Name(s)Recipient’s Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Special Requested Language ChangesOrder DetailsYour Name(s) First Last Email Address* Your PhoneDonation$25$50$100OtherPlease enter your donation amount here:*Donation Payment MethodClub ChargeCheckClub Member Number* This iframe contains the logic required to handle Ajax powered Gravity Forms.