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Orcas Senior Center Donation Form
Thank you for contributing to ORCAS SENIOR CENTER!
Orcas District DBA Orcas Senior Center of the 501(c)3 nonprofit, Senior Services Council of San Juan County's fedderal Tax ID Number: 91-1057199. All gifts are tax deductible.
Questions? Please contact 360-376-7929 or admin@orcasseniors.org.
DONATION AMOUNT
*
$500
$250
$100
$50
$25
$
Is this a tribute gift?
No
Yes, an honorary gift
Yes, a memorial gift
Please provide the name and contact information of the honoree.
Please provide the name of the deceased.
Please provide the contact information for a relative or friend of the deceased.
1st DONOR NAME
*
First Name
Last Name
2nd DONOR NAME
First Name
Last Name
EMAIL
PHONE NUMBER
ADDRESS
*
Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Please do not show my name on published lists.