CAFAmerica™ Gift Form

(Please print legible or type)

 

 

I would like to make a gift to CAFAmerica.

Receipts will be sent for gifts of a greater value than or equal to $250. If the gift is by check, the receipt will be made in the name of the person signing the check.

 

Name(s) of Donor(s) [Mr. Mrs. Ms.]: __________________________________
Address of Donor(s): __________________________________
__________________________________
__________________________________
Telephone: __________________________________
Fax: __________________________________
E-mail: __________________________________
Is this an anonymous donation: qYes  -  qNo

 

Please check whichever applies and fill in the amount:

 

q I enclose a check payable to CAFAmerica in the amount of $___________________

or

q Please charge $_______________ to my qMasterCard   or    qVisa

    (These cards carry an extra 4% Fee)

 

Name exactly as on card:

__________________________________

Expiration date:

__________________________________

Card number:

__________________________________

 

Signature:

 

__________________________________

 

I would like to suggest that CAFAmerica support the following philanthropic organization:

 

Name of Organization:

The Humane Center for Animal Welfare

Address:

P.O.Box 142624 – Amman 11844 – Jordan

Telephone Number:

+ 962 6 572 86 56

Fax Number:

+ 962 6 571 27 54

Contact Name & Title:

Mrs. Margaret Ledger – Director General

Activities of organization:

Promoting the welfare and care of animals in Jordan.

 

I understand that my gift to CAFAmerica becomes the property of CAFAmerica and that CAFAmerica has ultimate control, authority and discretion with regard to its assets.  All grants made by CAFAmerica are in its sole and independent discretion.

 

 

Signature: _____________________________ Date: ______________________

 

Please send the form together with your gift to:

Gift Administrator, CAFAmerica, King Street Station

1800 Diagonal Road, Suite 150, Alexandria, VA 22314-2840

Fax:  (703) 549-8934     E-Mail:  cafamerica@caf.charitynet.org