Hanford Challenge

DONATION FORM

 

**Please print out mail in** 

 

I want to make a difference at Hanford by making a donation to the Hanford Challenge in the amount of:

 

$25___     $50___     $100___     $250___     $500___     $1,000___    Other___

 

Your contact information:

Name:

Address:

 

E-Mail:

 
I would like to make this contribution by:

 
__ Cash

 

__ Check (Please make checks payable to the GAP HANFORD CHALLENGE)

 

__ Credit Card

 

      __Visa or __ MasterCard       VISA or MasterCard Number:

 

      Credit Card Expiration Date (Month/Year):

 

      Authorized Signature:

 

Please mail a completed copy of this form and your donation to:

HANFORD CHALLENGE

219 First Avenue S., Suite 220

Seattle, WA  98101