Donation Form
Print this form and mail it with your donation to: Assistance League North Coast
PO Box 2682
Carlsbad, CA 92018-2682
Date:_________________
I would like to make a financial donation to help those in need through the philanthropic programs of
Assistance League North Coast.
My check is enclosed for $ ________. Please make check payable to
Assistance League North Coast.
Please charge my credit card (Visa/Mastercard)
Card number__________________________________
Expiration Date___________ Amount $_____________
Please complete the following information so that we may send you a letter of thanks and a receipt
for tax purposes.
Name___________________________________
Address_________________________________
City _____________ State______ Zip ________
Telephone( )___________________________
Assistance League North Coast publishes donor names and/or amounts in various publications
viewed in the community. Please indicate your wishes regarding this information below. Sample
publications and our full privacy policy are available for your review in our office
or on our website.
___You may publish my name only
___You may publish my name and donation.
___ Do not include any information as I wish the donation to remain anonymous.
Signature_____________________________________
Would you like to receive an invitation to our Autumn Fantasy fund raiser each year? Yes___ No___
Your generosity is greatly appreciated and will make a difference in the lives of
North County residents in need.
PO Box 2682
Carlsbad, CA 92018-2682
Date:_________________
I would like to make a financial donation to help those in need through the philanthropic programs of
Assistance League North Coast.
My check is enclosed for $ ________. Please make check payable to
Assistance League North Coast.
Please charge my credit card (Visa/Mastercard)
Card number__________________________________
Expiration Date___________ Amount $_____________
Please complete the following information so that we may send you a letter of thanks and a receipt
for tax purposes.
Name___________________________________
Address_________________________________
City _____________ State______ Zip ________
Telephone( )___________________________
Assistance League North Coast publishes donor names and/or amounts in various publications
viewed in the community. Please indicate your wishes regarding this information below. Sample
publications and our full privacy policy are available for your review in our office
or on our website.
___You may publish my name only
___You may publish my name and donation.
___ Do not include any information as I wish the donation to remain anonymous.
Signature_____________________________________
Would you like to receive an invitation to our Autumn Fantasy fund raiser each year? Yes___ No___
Your generosity is greatly appreciated and will make a difference in the lives of
North County residents in need.