200 Envelopes Giving Form

200 Envelopes Fund Drive & Friend Raiser!

Help fill 200 envelopes to reach our $20,000 goal!
Full Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Would you like to be acknowledged?

YesNo
If so, how?
Note: business sponsorships will be an option soon.
Donation Methods
I would like donate $ Dollar Amount by the following method:
Online Check Out (See below)By Mailing a check to Heijeu, 703 W. St. Germain Street, St. Cloud, MN 56301GiveMN (Click Link Below)Cash at next event
Donation Amount (Online Check Out)

prevnext( X )
USDPick a donation amount between $1 - $200
Want to give on GIVEMN instead? Click this Link.

(Still fill this out for our records, and skip "donation amount".)
Should be Empty:

200 Envelopes Fund Drive & Friend Raiser!