Fill out the following form to make a donation via credit card or check, and submit to:

Nicole Knowlton
Volunteers of America
1776 E. Broad Street
Columbus, Ohio 43203

Credit card donations can also be submitted to Nicole at:
Phone: (614) 253-6100
Fax: (614) 253-6000

Please check that your name and address are correct to ensure proper preparation for your tax receipts. Please make checks payable to Volunteers of America.


DONATION FORM

I am making a gift of (circle one):
$5, $15, $25, $250 or Other $_________

Please use it for:  
r _________________
r Where most needed

Your Name: _______________________________________

Your Company/Organization: _______________________________________

Street Address: _______________________________________

City/State/Zip: _______________________________________

Phone Number: _______________________________________

Email Address: _______________________________________

Check or Credit Card Information

Name on Card: _____________________________________________

Card Type: _____________________________________________

Account Number: _____________________________________________

Expiration Date: _____________________________________________