Offline Donation Form - Cupid'S Charity
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1OFFLINE DONATION FORM
Complete this form and send in along with your donation.
Checks should be made out to “Cupid’s Charity”
Mail completed form and check to:
Cupid’s Charity, 1100 N Glebe Rd. #1010, Arlington, VA 22201
DONOR INFORMATION
NAME:
ADDRESS (street, city, state, zip):
PHONE #:
EMAIL ADDRESS:
PARTICIPANT INFORMATION
Let the participant know to record your donation as an “offline donation” so they receive fundraising credit!
NAME:
TEAM NAME (if applicable):
DONATION INFORMATION
DATE OF DONATION:
DONATION AMOUNT: $
Want to send in one check and apply it to multiple participants? Sure! Just be sure to let us know here:
PARTICIPANT NAME:
DONATION AMOUNT: $
PARTICIPANT NAME:
DONATION AMOUNT: $
PARTICIPANT NAME:
DONATION AMOUNT: $
PARTICIPANT NAME:
DONATION AMOUNT: $
3457 Ringsby Court #205
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