DONATION FORM - St. Baldrick`s Foundation

DONATION FORM
Want your donation posted to the website faster?
Give by credit card online at StBaldricks.org or
by phone at 888.899.BALD (2253).
ID#
Participant/Fundraiser/Memorial
Event Year
Team
ID#
ID#
Event Title
Step 1: Donor Information
OR
This gift is from a Business or Organization/Foundation
This gift is from an Individual
Name of Business or Organization/Foundation
Prefix
First Name
MI
Last Name
Contact Name
Recognition Name (to display on website)
Job Title
Step 2: Email Address
Email Address:
Go green! Providing your email address lowers our costs and benefits the environment.
We do not sell, rent, exchange or otherwise share your information with any other organization or individual.
Step 3: Optional Gift Information
Please make this gift:
Please make this gift ANONYMOUS
In Memory Of
In Honor Of
(Only the participant will see your name.)
Name
Step 4: Mailing Address
Home
Work
Address
City
State
Zip
Phone:
Home
Work
Mobile
Step 5: Donation
Donation Amount:
$1,000
$500
$250
$100
$50
Other $
Double Your Donation
Check
Make checks payable to: St. Baldrick’s Foundation
Please write the participant ID in the memo line of your check.
Cash
Never put cash in the mail.
Turn in your cash donation to the participant or at the event.
Apply to your company for a matching gift. Check with your Human
Resources Department or email [email protected]
Donations are fully tax deductible to the extent allowed by law.
IRS nonprofit ID # is 20-1173824.
Thank You!
Please return this completed form with your donation to your participant, or send to:
St. Baldrick’s Foundation, 1333 S. Mayflower Avenue, Suite 400, Monrovia, CA 91016