Donation Form
(Please include a copy of this form with your donation.)

Full Name: ________________________________________ (required)

Company: __________________________________________ (optional)

Address: ___________________________________________ (required)

City: _______________________  State: _____  Zip: ____________(required)

Phone: (      )                                (optional)

Email:                                                       (optional, but appreciated)

Donation Amount: $ __________________
□ Check (payable to Christmas SPIRIT Foundation) enclosed
□ Credit Card Payment □ VISA □ MasterCard

Number: _________________________ Expiration Date: _________

Signature ______________________________________

Please mail checks or credit card information to:

Christmas SPIRIT Foundation
P.O. Box 771306
St. Louis, MO 63177-2306

You may also fax credit card payments to: 636/449-5051

□ YES, I am interested in receiving information about future Christmas SPIRIT Foundation activities. Please include me on your email/mailing list. (NOTE: we will communicate by email whenever possible to reduce administrative costs.)

Thank You!