Year End
Quote Info

SHIPPING ADDRESS (if different):

Order Quantity:

Two Color:
Four Color:
Please fill in your RETURN mailing address for your LifeGuard Envelope:





Please provide the applicable content for your response certificate:

Response Gift Amounts

ENCLOSED is my GIFT OF: (Fill in specific amounts)
$ $ $
$ $ $Other (will be included)

Response Credit Card Information

Credit cards you accept : (Check all that apply)
Visa Discover MasterCard American Express Other

What are your Required Data Fields for Credit Card Collection?
(Check all that apply)
Card number Exp Date Security Code
Name on card Signature Other

INCLUDE: (please provide content for selected areas. Check all that apply)

(Refer to samples for content areas)

Monthly Giving Option
e.g. I would like to pledge $ monthly to help the women and children of our community.
Call to use Credit Card (We still need to know which cards you accept.)
e.g. To give by credit card call us at 555-555-5555 or give online at yoursite.com
Any Additional Text You would like to include regarding a SPECIFIC SUPPORT AREA, PROJECT, or PARTNERSHIP PROGRAM, Etc:
e.g. YEAR-END GIVING NOTICE: Donation envelope must be post-marked by December 31 to qualify for a deduction on this year’s taxes. We are a registered 501(c)3 non-profit. Thank you for helping us save and change lives in our community.
Response Contact Information Your CONTACT INFO at bottom of CERTIFICATE
e.g. Center Name . email: mail@yoursite.org . website: www.yoursit.org
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