------ Community Youth Inter Alia Donation Form ------
Name  
Business Name
(optional)		  
Address  
Email  

Phone Number

  

Best Time to Call

  
Monetary Donation
    Please accept our check for $_________ as a donation to Community Youth Inter Alia.

My donation
bullet Is enclosed
bullet Will be delivered to Community Youth Inter Alia
(PO Box 401102 - Las Vegas, NV 89140)
bullet Needs to be picked up
 

Please return or FAX this form to:

Community Youth Inter Alia

PO Box 401102

Las Vegas, NV 89140

Fax: (702) 895-0732

Thank you for your generous support of Community Youth Inter Alia!
You may retain a copy of this form for your tax purposes.  Community Youth Inter Alia is a non-profit corporation classified by the Internal Revenue Service as a 501 (c)(3) organization.  As such, your contributions are tax deductible to the fullest extent of the law.