CDMA Donation Form

Chugiak Dog Mushers Association

PO Box 671523 - Chugiak, AK 99567
Donation Form
First Name*
Last Name*
Company (if applicable)
E-mail*
Phone Number

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How would you like your donation to be used?*

Dixie Waddell Memorial FundRace SponsorshipTrail GroomingEquipmentRaffle ItemWherever it is neededOther (please specify in comments)
Comments
Type of Donation*

In-kind DonationMonetary Donation (credit card)Monetary Donation (check)
Item(s) Donated
Value of In-kind Donation
Donation Amount (check)*
Donation Amount

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USD
Donated Amount (calculated)
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Date
Confirmation email

Please send receiptPlease send invoice
Please make your check payable to Chugiak Dog Mushers Association and mail to:

Chugiak Dog Mushers Association
PO Box 671523
Chugiak, AK 99567
Thank you for supporting the Chugiak Dog Mushers!
Should be Empty:

Chugiak Dog Mushers Association