Donation Form
DONATION MADE IN HONOR OF
Jacey Brooks
____ PERSONAL DONATION MADE IN THE AMOUNT OF _______________!
____ BUSINESS OR ORGANIZATION DONATION MADE IN THE AMOUNT OF____________!
_____ BUSINESS CONTRIBUTION! OUR BUSINESS, ORGANIZATION, OR GROUP IS DONATING THE FOLLOWING GOODS OR SERVICES: _________________________________
_________________________________________________________________________________
_________________________________________________________________________________
NAME: _____________________________________________ PHONE: ______________________
BUSINESS NAME: ________________________________________________________________
ADDRESS:_________________________________________________________________________
__________________________________________________________________________________
MAKE CHECKS PAYABLE TO 4 PAWS FOR ABILITY
The family listed above is given volunteer credit towards their fundraising requirement for bringing your donation to 4 Paws. The donation you are making is in honor of this child and is made to 4 Paws For Ability, Inc. a 501c3 organization. Your donation is tax deductible. Again, Thank you for donating to 4 Paws!
MAIL YOUR DONATION TO:
4 Paws For Ability, Inc. a non-profit agency taking the ‘dis’ out of disABILITY!
253 Dayton Ave, Xenia, Ohio 45385 (937)374-0385 or karen4paws@aol.com
http://www.4pawsforability.org/
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