CLICK HERE TO DONATE ONLINE NOW
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
