To Contribute or Volunteer

If you would like to contribute or volunteer, please print this page, fill it in, and mail it to us at the address above.  Thank you very much.

Name _________________________

Address _______________________

City ___________________________

State _________ Zip ______________

Email __________________________

Phone _________________________ 

__  I would like to support the foundation - 501(c)(3) status granted.  We are eligible for matching grants from your employer.

__          Individual  $15
__          Family  $25
__          Business  $100
__          Sponsor  $500
__          Benefactor  $1,000
__          Other  __________

__  In memory of  ____________________________
__  I would like to volunteer.  Please contact me.
__  Please check here if you do not want your name published as a donor.