EVERYCHILD FOUNDATION DONATION FORM

Please print out this form and mail it to

Amount:                  _______________________________________________________

Name:                     _______________________________________________________

Address:                ________________________________________________________

City, State, Zip:     ________________________________________________________

Telephone:            ________________________________________________________

Email:                     ________________________________________________________

In Honor of:          ________________________________________________________

In Memory of:       ________________________________________________________

Payment

Check:
___ Enclosed is my check for $________. (Please make payable to Everychild Foundation)

Credit Card:

___ Charge $_________ to my credit card

___Master Card ___ Visa ___ American Express

Account # ________________________________________    Expiration Date   _____

Signature _____________________________________________________________

The Everychild Foundation is a non-profit 501 (c)(3) organization. Contributions are tax deductible to the extent allowed by law. EIN# 31-1693985.

Please print out this form and mail it to:

Everychild Foundation
PO Box 1808
Pacific Palisades, CA 90270