What is the NAILBA Charitable Foundation? 2017 DONATION FORM
What is the NAILBA Charitable Foundation? A forum for giving back . . . to improve the quality of life for those in need in the many communities served by our membership and by our valued partners. The mission of your NAILBA Charitable Foundation is to encourage volunteerism among NAILBA member agencies and our corporate partners and provide grant funds to worthy charitable organizations that serve to enhance the quality of life for those less fortunate, with special emphasis on children. Your donations go to those charities where you are involved and where a grant can make a significant impact. In 2016, your NAILBA Charitable Foundation was able to award $220,000 in grants to 17 worthy charities and the Life Happens Life Lessons Scholarship Program. If you have not contributed in the past or have not renewed your commitment for 2017, please consider this very worthy cause for your charitable endeavors. For more information about the NAILBA Charitable Foundation, please contact Kathy Allison, NAILBA’s Director of Membership and the Foundation, at [email protected] or at (703) 3833081. Your thoughtfulness and support will serve a vital role in NAILBA and the insurance brokerage industry by playing a bigger role advocating the support of those in our communities less fortunate than ourselves. THANK YOU.
2017 DONATION FORM $500 _____ $1000 _____ $2500 _____ $5000 _____ Other __________________________ DONOR NAME: _________________________________________________________________________ ORGANIZATION: ________________________________________________________________________ ADDRESS: _____________________________________________________________________________ CITY, STATE, ZIP: ________________________________________________________________________ EMAIL: _______________________________________ PHONE: _________________________ My donation is personal ______
from my organization ______
____ I prefer to be listed as anonymous
CHECK # _______________ made payable to the NAILBA Charitable Foundation is attached. CREDIT CARD: VISA _____ MasterCard _____ AmEx ______ EXPIRATION DATE: ____________ CREDIT CARD NUMBER: _________________________________________________________ NAME ON CARD: _______________________________________________________________ SIGNATURE: ___________________________________________________________________ By completing this form you’re consenting to receive transactional and information emails and faxes from the NAILBA Charitable Foundation, FEIN 56-2448850.
2017 DONATION FORM $500 _____ $1000 _____ $2500 _____ $5000 _____ Other __________________________ DONOR NAME: _________________________________________________________________________ ORGANIZATION: ________________________________________________________________________ ADDRESS: _____________________________________________________________________________ CITY, STATE, ZIP: ________________________________________________________________________ EMAIL: _______________________________________ PHONE: _________________________ My donation is personal ______
from my organization ______
____ I prefer to be listed as anonymous
CHECK # _______________ made payable to the NAILBA Charitable Foundation is attached. CREDIT CARD: VISA _____ MasterCard _____ AmEx ______ EXPIRATION DATE: ____________ CREDIT CARD NUMBER: _________________________________________________________ NAME ON CARD: _______________________________________________________________ SIGNATURE: ___________________________________________________________________ By completing this form you’re consenting to receive transactional and information emails and faxes from the NAILBA Charitable Foundation, FEIN 56-2448850.
