CAL Donation Form

To make a donation to CAL:

Print this page on your printer, fill out the form, and send it to us with your donation. Checks must be made in U.S. dollars. -OR-
• E-mail the information to us at calinfo@cal-s.org and mail us a check. If you choose this method, please be sure that your e-mail message includes the name and address that will appear on the check.
• If paying by Visa, Master or Discover card, note, this is not a secure line. Please contact CAL by phone or e-mail and someone will contact you.

Thank you.

Enclosed is my contribution in the amount of $__________

Name of Contributor:

Mr./Mrs./Miss/Ms./Other:

__________________________________

First & Last Name:	________________________________________
Address:	________________________________________
City, State ZIP:	________________________________________
E-mail:	________________________________________
Comments:	________________________________________

Name of Person(s)you wish to honor or memorialize:
__________________________________________________
(print name(s))

( )Birthday	( )In memory of
( )Anniversary	( )Thank You
( )Wedding	( )Congratulations
( )Holiday	( )Get well
( )Other ______________________________

Please send acknowledgement to:

Mr./Mrs./Miss/Ms./Other:

__________________________________

First & Last Name:	________________________________________
Address:	________________________________________
City, State ZIP:	________________________________________

Matching Gift Program:

If your company has a matching gift program, please fill in the following for the person whom we should contact:

Mr./Mrs./Miss/Ms./Other:

__________________________________

First & Last Name:	________________________________________
Telephone:	________________________________________
Address:	________________________________________
City, State ZIP:	________________________________________
E-mail:	________________________________________

Please contact me to talk about other ways in which I can help CAL help others. ___YES ___NO