To make a tax deductible donation, print out this form and mail or fax
a completed copy to the Boys & Girls Clubs of Huntington Valley at the
address referenced below.
.
Boys & Girls Clubs of Huntington Valley
16582 Brookhurst St.
Fountain Valley, CA 92708
Phone (714) 531-2582
Fax:( 714) 531-7850
.
A contribution of $________________
.
Method of Payment:
__ Check payable to Boys & Girls Clubs of Huntington Valley
.
__ Charge my: ____ Visa   ____ MC   ____ AmEx
          Card Num.:  __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __
          Exp. Date:    __ __ /__ __
          Cardholder:   _____________________
          Signature:    _____________________
.
Name:  ______________________________________________________
Address:  ____________________________________________________
City, State, Zip: _______________________________________________
.

Thank you for your support!