2. 

4. Framingham Firefighter Memorial Donation Form

   Thank you for supporting the Framingham Fire Department's effort to honor our fallen heroes. Please complete the form below to donate and personalize a memorial brick.

6. 🔸 Contact Information:
8. Full Name: *
9. Phone Number:*
11. Email Address:*
13. 🔸 Mailing Address:
15. Street:*
16. City:*
17. State:*
19. ZIP Code:*
21. Select Donation Level (Please choose one donation option)*

    1. First Alarm – No brick needed. I would just like to make a monetary donation.
    2. Second Alarm – $150/ Brick (6x9) with 4 lines of personalized text (17 Character LIMIT)

23. Additional corporate donation levels are available. Please contact Asst. Chief John Schultz at jxs@framinghamma.gov.

27. If you selected Second Alarm, you may enter up to 4 lines—each line is limited to 17 characters.

29. Example:
    
31. Other Examples:

    IN MEMORY OF  FRAN MARIE ORTIZ “NANA” WE LOVE YOU!

    JOHN F. O’TOOLE FRAMINGHAM FD ENGINE 3/GROUP 3 1/1996 – 1/2026

    THE SMITH FAMILY RACHAEL, SCOTT, CHARLOTTE & ANDY EST. 2002

33. 🔸 First Line for your brick Inscription (17 characters Limit)

    Use ALL UPPER CASE. Each space and punctuation mark counts as one character.
    No emojis or special symbols, please.

35. 🔸 Second Line for your brick Inscription (17 characters Limit)

    Use ALL UPPER CASE. Each space and punctuation mark counts as one character.
    No emojis or special symbols, please.

37. 🔸 Third Line for your brick Inscription (17 characters Limit)

    Use ALL UPPER CASE. Each space and punctuation mark counts as one character.
    No emojis or special symbols, please.

39. 🔸 Fourth Line for your brick Inscription (17 characters Limit)

    Use ALL UPPER CASE. Each space and punctuation mark counts as one character.
    No emojis or special symbols, please.

43. 🔸 Payment Method

    Please select one method and include your Venmo username or check details so we can confirm your payment and match it to your donation.

45. Venmo

    1. Venmo – Send payment to @FFDMemorialFund

    📌 Important: Please enter your Venmo username below exactly as it appears in the app before submitting the form.  This will allow us to confirm that your payment was received.

    Framingham Firefighters Memorial Fund Inc. has a business profile on Venmo, please see below:

    https://www.venmo.com/u/FFDMemorialFund

47. You can also scan this QR code to access the Venmo account for the Framingham Firefighters Memorial Fund.
    
49. Please enter your Venmo username:

    Please provide your Venmo username so we can confirm your payment.

53. Check by Mail

    1. Check

    Payable to Framingham Firefighter’s Memorial Foundation, Inc.
    Mail to: 10 Loring Drive, Framingham MA 01702

    Note: If you are paying by check, please make sure to print this completed form before submitting it. When mailing your check, include the printed copy of this form and send both to the address listed above.

55. Check Number (if available):

57. All donations are tax-deductible.
    IRS Tax ID: 90-0929385
    Questions? Contact John Schultz at (774) 279-4196 or jxs@framinghamma.gov

Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field