Donation Form Name: Business Name:

EDAR (Everyone Deserves A Roof), Inc.
1015 Gayley Avenue, Suite 357 ■ LOS ANGELES CALIFORNIA 90024
TELEPHONE (310) 208 1000 x 109 ■ FAX (323) 315 5188
www.edar.org ■ [email protected]
Donation Form
Name: ____________________________________________________________________
Business Name: ____________________________________________________________
Address: __________________________________________________________________
City_________________________
State_____________
Zip _____________________
Phone: _____________________________ Fax: __________________________________
Email: _____________________________
I would like to make a donation in the amount of $___________
Annually
Monthly
Quarterly
Once
Please check with your tax preparer to ascertain the deductibility of your donation. Tax ID # - 26-0561594
This donation is in honor of / in memory (please circle one) of: ___________________
Payment Method:
Check or money order payable to EDAR (Everyone Deserves A Roof), Inc.
Credit Card (Please circle one) Visa
MasterCard
Amex
Card number: _______________________________ Exp: __________
Security number (on back of card): ______________
Credit Card Billing Address (if different from above)
Address: _____________________________________________________________
City_________________________
State_____________
Zip _______________
Please return this form by fax to 323-315-5188 or by mail to:
EDAR (Everyone Deserves A Roof), Inc.
Attn: Development Department
1015 Gayley Avenue, Suite 357, Los Angeles, CA 90024-2527
For more information, please contact Julie Yurth Himot at 310-208-1000 x109 or [email protected]