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Make A Donation
 
    MAKE A DONATION
 
WE DO ACCEPT CREDIT CARDS, Visa and Master Card Only
PLEASE MAKE CHECK PAYABLE TO:              The Kristin Rita Strouse Foundation
Name: ___________________________________
Check #____________________
Company: ________________________________
Total Amount#______________
Title: ____________________________________

Make checks payable to:
Kristin Rita Strouse Foundation

Send to:
The Kristin Rita Strouse Foundation
10709 Pot Spring Rd.
Cockeysville, MD 21030

For more information,
call: 410-339-5787 or
410-218-9777 or 410- 667-9384
Address: _________________________________
City/State/Zip: _____________________________
Phone: __________________________________
Fax: ____________________________________
Email: __________________________________
Credit Card Number:_________________________  
Expiration Date:_____________________________  
Signature:_________________________________  

 

 

 

2008 AUCTION DONATION FORM
Name of Business______________________________________________________________
Name of Donor ________________________________________________________________

Address______________________________________________________________________

Phone Number_________________________________________________________________
Item or Service to be donated (Please include a description and any restrictions):
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Estimated Value:_____________________________________________________________________
___________________ A Gift Certificate is enclosed.
__________________Contact_________________________________________to arrange pick up.
(please print)
Authorized Signature of Donor________________________________________________________
Please call Sharon Wieciech 410-339-5787 if it is necessary to have your donation picked up.
Please return this form along with the donated item and/or letter of intent as soon as possible.
Please send this form to:
The Kristin Rita Strouse Foundation
10709 Pot Springs Road
Cockeysville, MD 21030

Thank you for your generous support!

 

 

HELP US TO MAKE MIRACLES - HELP US TO MAKE A DIFFERENCE
SUPPORT THE KRISTIN RITA STROUSE FOUNDATION