Print this form and send it with your donation

Yes, I want to help with the restoration of the Mountaineers historic Kitsap Cabin and the Forest Theatre. Enclosed is my donation of $_________. I understand that my donation is tax-deductable to the extent allowed by law.

I'm making this donation in honor of _________________

____________________________________________

____________________________________________

____________________________________________

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Name ________________________________________

Address ______________________________________

City __________________ State _____ Zip __________

Phone Number _________________________________

Email Address _________________________________

Enclosed is a
[ ] Check
[ ] Money Order
[ ] Credit Card Information

[ ] Visa [ ] Mastercard

Credit Card Number _______-_________-_________-__________

Expiration Date ______/______

Amount $____________

I've enclosed paperwork for my employer's matching donation.
Yes ____ No____

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Make checks payable to The Mountaineers Foundation. Write Kitsap Restoration Fund in the memo field or include this form.

Send your donation to:
The Mountaineers Foundation
P.O.Box 9464 Queen Anne Station
Seattle, WA 98109