Donation Form

You can print this form to mail a contribution or use the online donation button on the home page of our site.

From:

__________________________________________________________________

Name (As you wish it to appear on our Donor List)

__________________________________________________________________

Address

Please:

_____ use this gift in the way it will best serve the Parkersburg area

_____ add my gift to the_____________________________ fund.

This gift is:

_____ in honor of_______________________________________________

_____ in memory of_____________________________________________

Please provide notification about my gift to the following:

__________________________________________________________________
Name

__________________________________________________________________
Address

I understand that the amount of my gift will not be mentioned.