1. Contact Information:
State: Zip Code:
NWCCD fund would you like to contribute to?
NWCCD Support Fund
Fund Amount: $
3. Completing your Contribution:
Total Donation amount: $
(U.S. Funds Only)
4. Please make your
check to NWCCD. Mail this form and your donation check to the
Prairie, WA 98606
All contributions are tax deductable and
a tax deductable receipt will be mailed to you.
Thank you so much for your contribution,
and may God richly bless you!