VERDE VALLEY CAREGIVERS DONOR FORM

Donate securely online via Credit Card or PayPal

All Credit Payments are processed by PayPal; you will receive a receipt vial email immediately.

Donate via check or other ways using the form below.

Name: Address (line 1): Address (line 2): City: State: Zip: Phone: E-mail: Please contact me for the following reasons:

I am sending you a check in the amount of $

I am interested in donating a certain amount each month.

I need more information to set up trust, grant, etc.

I have something other than money to donate as specified below:

Add me to your mailing list for donors.

I am interested in volunteering; please put me on your mailing list for a volunteer orientation.

I have looked at your Volunteer Opportunities page and am interested in volunteering for: