Donate by Mail, Fax, Phone, or Email
By Mail: To make a donation by mail, please print the form below and mail it with your check or credit card information to:
Girls Incorporated
35 Park Place
Waterbury, CT 06702
By Phone: To make a donation by phone, please call Monday-Friday, 9am-5pm at (203)756-4639.
By Fax: To make a donation by fax, please print the form below and fax it with your credit card information to:
(203) 756-3638
By Email: Follow instructions:
Please copy (Ctrl C) the form below and paste (Ctrl P) into an email:
Email: Nsimmons@girlsincswct.org
Enclosed is my gift of
[ ] $35 [ ] $50 [ ] $75 [ ] $100 [ ] $250 [ ] Other $________
Contact Information:
Name: _______________________________________
Address: ____________________________________
City: ______________________ State:_______________ Zip:_____________
Country: _______________________
Telephone:___________________ E-mail:___________________________
Contribution Information:
[ ] I’m enclosing my check, payable to Girls Inc.
[ ] Please charge the amount indicated above to my credit card.
Type of Credit Card (please circle one):
Visa
MasterCard American Express Discover
Credit Card Number:_________________________ Exp. date:___ /____
Name (as it appears on card):__________________________________
Thank you! *To print this form, simply click "Print..." from
the file menu on your toolbar.
Copyright
© 2006 Girls Incorporated.
The Girls Inc. name, mark, and all associated trademarks and logotypes
are
owned by Girls Inc.
Strong, Smart, and Bold is a service mark of Girls Inc.
Back