ACF Gift Application

Please complete the following items.

 
Personal Information:
 Last Name                            First Name                       M.I.   Zip Code
E-Mail                                                   Telephone Day     Evening
Residence:  Street No. and Name
City of Residence                          State                

 

Gift Information:

I request my attached gift be directed to the funding of:
      
I request my gift be directed toward the overall projects of the Anaheim Community Foundation.
Please list my gift as a memorial to:
I wish to pledge a total of $ to be paid as follows:
Total enclosed $    Per Month $
Per Quarter $ Other $
 
Make check payable to ACF and send this form to:
Anaheim Community Foundation
200 S. Anaheim Blvd.,#433, Anaheim CA 92805
 
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Check the complete form. If ok enter "1" in check box and submit.