Remember Your Hero

Please complete the form to ‘plant’ a forget-me-not flower in the virtual dedication garden in memory of your Donor Hero. If you have any questions or experience any difficulty, please send a message to AOPO at aopo@aopo.org. *Please allow 3-5 business days for your dedication to be posted*

Your Name

Email

Donor Hero Name

Relationship to Donor Hero

Donor Hero Story/Dedication

For privacy reasons, please do not include the death date of your Donor Hero.

Local OPO/Place of Donor Hero's Death

Primary Photo

Accepted file types: jpg, jpeg, gif, png, Max. file size: 100 MB.

Donor Hero Photos (up to 3)

Donor Hero Photo 1

Accepted file types: jpg, jpeg, png, gif.

Donor Hero Photo 2

Accepted file types: jpg, jpeg, png, gif.

Donor Hero Photo 3

Accepted file types: jpg, jpeg, png, gif.

Your Mailing Address

Please provide your full address if you would like to receive a forget-me-not seed packet to plant in remembrance of your Donor Hero. *This is optional and will only be used to send the seed packet

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Yes, I am interested in partnering with AOPO in future advocacy efforts to support organ donation. By checking this box, I agree I want to receive updates, emails, and other potential advocacy opportunities by email to the contact information I am submitting.

I Accept

By checking this box, you hereby grant approval to AOPO and your local OPO to publish and distribute the above Donor Hero Story/Dedication.(Required)

I Accept

CAPTCHA

Phone

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

Remember Your Hero

Donor Remembrance Day 2024

Primary Photo

Donor Hero Photos (up to 3)

Association of Organ Procurement Organizations

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