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DONATION FORM
I/We would like to provide the following donation to support Child and Family Services of Northwestern Michigan's mission and efforts.
Please complete donor information as you wish it to appear in our records.
Name__________________________________________
Address________________________________________
City/State/Zip____________________________________
Donation Amount $_______________________________
Please make checks payable to Child and Family Services of Northwestern Michigan
I prefer to donate by credit card
VISA
Master Card
#___________________________Expiration Date_________________________________
Signature______________________________________
Please direct my donation to:
Area of greatest need Treatment
Services
Community prevention services
Other: Contact
me/us to discuss other ways we can helpAddress:
Phone:
Please send an acknowledgment:
In honor of_____________________________
In memory of___________________________
Address_______________________________
Child and Family Services of Northwestern Michigan
3785 Veterans Drive
Traverse City, MI 49684
Thank you for investing in Child and Family Services of Northwestern Michigan's mission.
As CFSNWMI is a 501(c)(3) charitable organization, your donation is tax deductible as allowed by law.