|
|
 |
|
 |
|
|
|
|
 |
|
|
|
|
|
|
 |
|
 |
|
Easy
Give | Back
to Donation Page
Easy Give Program
Enrollment Form
|
To
donate by mail to Children's Home Society of Washington,
Yes! I'd like to sign up for Easy Give! Contribution
amount collected (check one):
Date contributions are to begin: ______________________ Name on Account (please print): ___________________________ Address: _____________________________________________ City: _____________________State: _______ ZIP: ____________ Please
accept my ongoing contribution from my: I authorize Children's Home Society of Washington to process debit entries to my account. I have attached a voided check or savings deposit slip. This authority will remain in effect until I give reasonable notification to terminate this authorization. Authorized
signature on my account: ________________________ Date:_______________ Please attach voided check or savings deposit slip
ES2901 |