DONATION/PAYMENT FORM
(501 (3) Non Profit Corporation - Tax ID 23-7240728)




Name of Individual making the donation/payment


Contact Information (phone and email)


Business


I wish to donate/make payment to


Enter amount of cash donation/payment
(you will be given the option of paying with PayPal after you submit this form)


Donation receipt to be mailed to


Comments



THANK YOU FOR YOUR DONATION/PAYMENT