Memorial Leaf Inscription Form
Donations of $1,000.00 and above can be recognized with a leaf on our donor wall at our Hospice Home. If memorial donations totaling this level or more have been made on your loved one's behalf, you may request a leaf on the donor wall.
The donor wall is a beautiful work of art created by Tom Moberg of Moberg Galleries in Des Moines. It is a river scene featuring names in leaves or rocks.
The donor rocks are for gifts of $25,000 and above. The donor leaves are made of different shades of metal and designate gifts in categories of:
- $10,000-$25,000
- $5,000-$9,999
- $2,500-$4,999
- $1,000-$2,499
Please complete this form if we have notified you of eligibility for this recognition and you would like a leaf on our Donor Wall. Thank you for allowing us to care for your loved one.
