Donate by Phone, Fax, or Mail



If you prefer to make a donation by mail or fax, please print this form, complete it and send it to us at the address below.

I am making a gift of: $25 ____   $50 ____   $100 ____    $250  Other $________

Please use it for  _________________________, or where most needed.

Your name: _________________________________________________________

Your company/organization: ___________________________________________

Street address: ______________________________________________________

City/State/ZIP code: _________________________________________________

Phone number: ______________________________________________________

E-mail address: ______________________________________________________

Check or credit card information
Please make checks payable to Volunteers of America of Mid-States.

Please check that your name and address are correct to ensure proper preparation for your tax receipts.

If you wish to use a credit card please complete the information below.

Name on card: _____________________________________________________

Card type: ________________________________________________________

Account number: ___________________________________________________

Expiration date: ____________________________________________________

Mail to:
Volunteers of America
Attn: Robin Mohn
570 S. Fourth Street, Suite 100
Louisville, KY 40202

Fax to:
Volunteers of America
Attn: External Relations
(502) 637-8111 (Only fax credit card donations)

To donate by phone:
Call (502) 636-0771 with your credit card information

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