Assistance League of Bend · Assistance League of Bend OSB Restricted Online Donation Form Copy

Amount *

$

Donation Schedule

Tribute gift?

No

Yes, In Honor of someone

Yes, In Memory of someone

Name of person being honored/memorialized *

First Name

Last Name

Note of dedication or comment about this gift (optional)

Donor Name:

This donation is from an ...

Individual

Organzation

Organization/Business name *

Donor Name or Primary Contact (if from a business) *

First Name

Last Name

Donor Address *

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Email *

Verify Email *

Phone

Donor Acknowledgement

How would you like your name(s) to appear in our records? (spouse, foundation, company name)

Program Designation *

Operation School Bell - Direct toward services provided to children in need to include clothes, hunger, supplies, health and/or literacy.

Questions?

If you have any questions please contact treasurer@assistanceleaguebend.org

After clicking submit below, you will be directed to a payment confirmation page where you can use paypal, visa, or mastercard to complete your donation.

Thank you so much for your generous donation.

Operation School Bell® Restricted

Donation Form

Donor Name: