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Name: |
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Address: |
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City, State, Zip: |
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| ______ Enclosed is my
check for $ _______________ |
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Please make checks payable to CAP |
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| I would like my donation to help
support: |
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| ____ Help Warehouse |
____ Meals on Wheels |
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| ____ In Home Care Services |
____ CAP Transportation |
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| ____ Energy Assistance/Warm
Neighbor |
____ Weatherization and
Rehabilitation |
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| ____ Childcare Resource/Referral |
____ Volunteer Center/RSVP |
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| ____ Employment & Training |
____ Long Term Care Ombudsman |
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| ____ CAP Foundation |
____ Housing Program |
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| ____ Area of greatest need |
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____ Check here if you wish to remain
anonymous |
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You can print this
form and mail with your donation to: |
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| CAP |
| P O Box
2129 |
|
Longview, WA 98632 |
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| Your
donation is tax deductible |
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| Thank
you for your support! |
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Lower Columbia Community Action Program (CAP)
is a 501 (c) 3 nonprofit
organization |
