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Donation Form - Help Those Affected by Disasters

Please print this form and complete the information below to ensure proper preparation of your tax receipt (please print clearly). To donate to a specific cause, please write the name of the cause on the memo line of your check. If you would like to donate by phone via credit card, please call 1-800-HELP NOW (1-800-435-7669). Today s Date: _____ Amount of Check: $_____ payable to American Red Cross. Donor Name: _____ Organization Name (if applicable): _____ Address: _____ City: _____ State: _____ Zip Code: _____ Country: _____ Email: (optional) _____ Telephone Number: (optional)_____ Home Mobile Yes, you may contact me via phone with future disaster alerts, preparedness tips, and other ways to get involved in the Red Cross. CAUSE Please mark with an x your desired cause. This will enable us to apply your Donation where you intend.

Please print this form and complete the information below to ensure proper preparation of your tax receipt (please print clearly). To donate to a specific cause, please write the name of the cause on the memo line of your check.

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