Cardinal Center -- Giving Information Request

Giving Information Request Form

Fields marked with yellow are required.

Personal Information

	Name:

	Spouse:

	Address:

	City:

	State:

	Zip:

	Fax:

	Daytime Phone:

	Evening Phone:

	Email:

Please send me information regarding:

	Giving by

Ways to make a difference

		Annual Fund (November/December 2005)
		2nd Annual Duck Race (July 29, 2006)
		Gift Annuity Program with Kosciusko County Community Foundation
		Honorary and Memorial Gifts
		Bequests and Trusts
		Volunteering
		Other Gifts