Remembrance Pinwheels

Pinwheel Request

    Donor Information

  • Memorial Information

 

Verification

*After completing and pressing the SUMBIT button the pinwheel request form, please continue to the payment options below.

Mail payment:
Please make checks/money orders out to Klamath Hospice and mail to:
Klamath Hospice
Attn: Run/Walk
4745 S. 6th Street
Klamath Falls, OR 97603

Online payment:
We use an online payment processing service called “Paypal” to SECURELY process payments, but YOU DO NOT have to have a Paypal account in order to submit payment.¬† Once directed to the Paypal site, just follow the directions for users without paypal accounts.