WCC 2019-2020 Donation Form

WCC Foundation

Donation
Current Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Donor Name

First NameLast Name
Donor Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number

Area CodePhone Number
I am a.....

Other
Donation

prevnext( X )
USDSuggested Increments: $25, $50, $100, or Other
Which Designation?
Acknowledgement Information
If gift is in honor of, please type name(s)
For example: In honor of John Doe
If gift is in memory of, please type name(s)
For example: In memory of John Doe
If you have made this gift in honor or in memory of someone important to you, a letter of acknowledgment will be sent to them on your behalf.
Please provide name and address for acknowledgment gifts that are in honor or in memory:
Should be Empty: