End of Year ChariDy campaign Pledge Form:

End of Year ChariDy campaign Pledge Form:

End of Year - ChariDy Campaign Online Form:

Thanks so much for your partnership and support in helping so many families and children with special need throughout our city.

all Donations are fully tax deductible! 

First Name:  Last Name: 
Address: 
City:  State:  Zip Code: 
Tel:  E-mail: 


Amount of your End of Year ChariDy Campaign gift:

Each gift will be gen erously matched x 4: 

Donation amount:  $

Payment by credit card:  
Credit Card Type
Credit Card Number
Expiration Date
Cardholder Name
CID#

If your donation is in memory of someone please enter their name.

If your company has a matching gifts program please enter the company name and contact information.

Donations will be processed on the day of campaign, December 14th, 2016
Thank you so much! 

 

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