GIVING FORM
GIVING FORM If you would like to mail a gift instead of giving online, please complete this form and send with your payment to: The Guthy-Jackson Charitable Foundation Post Office Box 15185 Beverly Hills, California 90210 310-432-5400 *Required information—PLEASE PRINT *Date *Name of Contributor(s)/Donor(s) *Address *City/State/Zip *Telephone Email *Enclosed is my gift of: $50 $100 $250 $500 Other: $_________________ *Method of payment: Check enclosed
Credit Card (Processed through PayPal)
Credit card type:
Visa MasterCard American Express Discover Number: Expiration date: 3 Digit Security Code (on back of most cards): American Express 4 Digit Security Code (on front of card): Name as it appears on card: Cardholder signature: I intend for my credit card to be charged monthly: No Yes*: in the amount of $ _______________ By checking yes, this authorization shall remain in effect until written notice is given to GJCF by the cardholder *If yes, please acknowledge by signing: Memorial and tributes (optional) This gift is made in memory of: and/or This gift is made in honor of: A notification of your memorial or tribute gift will be sent promptly to the person listed below. The gift amount will not be indicated. Name Address City/State/Zip I would like to be contacted by a Gift Officer to receive further information. We welcome comments about your gifts and your inspiration to give. The Guthy-Jackson Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code (Tax ID # 26-6461545). Donations are tax-deductible to the extent allowed by law.
Credit Card (Processed through PayPal)
Credit card type:
Visa MasterCard American Express Discover Number: Expiration date: 3 Digit Security Code (on back of most cards): American Express 4 Digit Security Code (on front of card): Name as it appears on card: Cardholder signature: I intend for my credit card to be charged monthly: No Yes*: in the amount of $ _______________ By checking yes, this authorization shall remain in effect until written notice is given to GJCF by the cardholder *If yes, please acknowledge by signing: Memorial and tributes (optional) This gift is made in memory of: and/or This gift is made in honor of: A notification of your memorial or tribute gift will be sent promptly to the person listed below. The gift amount will not be indicated. Name Address City/State/Zip I would like to be contacted by a Gift Officer to receive further information. We welcome comments about your gifts and your inspiration to give. The Guthy-Jackson Foundation is a nonprofit, tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Code (Tax ID # 26-6461545). Donations are tax-deductible to the extent allowed by law.
