Assistance League® of Glendale

Donations
If you would like to become a friend of the Assistance League of Glendale, please print and then complete this form. Thank you for your generous support! View our donor privacy policy .
Enclosed is my gift of $__________.

__ Please use my gift to fund ____________________ (Indicate Program Choice).
__ Please use my gift as needed.
__ I would prefer to be an anonymous donor.
__ My gift is in honor of _____________________________________.

Your Name _______________________________
Address _________________________________
City  ____________________________________
State __________    Zip ____________

May we have your telephone number for our records?
Days ____________________
Evenings _________________

Please enclose your completed form along with your check made payable to Assistance League of Glendale and mail them to us at P. O. Box 10608, Glendale 91209.

Visa or MC ____________________________
Expiration ______________________________
Card Holder Name _______________________
Card Holder Signature_____________________
Date _______________