Ways to Give

Friends Member/Donation Form

SUPPORT THE FRIENDS

Membership/Donation Choice

RUBY LEVEL $100
EMERALD LEVEL $75
SAPPHIRE LEVEL $50

Additional Gift - Undesignated

$

Form Information

First Name

Last Name

Street Address

City, State, Zip

Phone Number

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Email

Credit Card Information

Cardholder Name

Credit Card #

Expiration Date

Security Code

Billing Zip Code

Your total payment will be

Your credit balance will cover

Your credit card will be charged

Your bank account will be charged

Name as you would like it to appear in recognition if different than above.

Please indicate if you prefer to remain anonymous.

I prefer to remain anonymous.

THANK YOU FOR YOUR SUPPORT OF THE FRIENDS OF THE BOWLUS!

American Family Insurance