|
|
|
Business Office 7600 S. Red Road, Suite 307 South Miami, FL 33143
Phone: 305-668-4902 |
|
|
The CBC needs your help to sustain and expand our services. We receive no support from federal, state or local government and no insurance reimbursemets. The CBC's services are free to all participants. Families may contribute as they are able - no child is turned away. Our program is completely reliant on contributions from individuals, businesses, clubs, organizations, and foundations.
Please help grieving children
and their families in South Florida by becoming a supporter of the Children's
Bereavement Center. Please PRINT and mail this completed form with your contribution
to:
Enclosed is my
tax-deductible gift of [ ] $25 - $99:
Donor
[ ] $500 - $999:
Advocate
[ ] $5,000 & Up: Benefactor [ ] $100 - $249:
Friend [ ] $1,000 -
$2,499: Sponsor [ ] Other
amount: $___________ [ ] $250 - $499:
Patron [ ] $2,500 -
$4,999: Mentor This gift is
in [ ] memory [ ]
honor
of
______________________________________________ Please send acknowledgement to:
__________________________________________________________________________________________________________________
Name
Relation to above
__________________________________________________________________________________________________________________
Address
City/State/Zip
Phone Please list my name as follows:
_______________________________________________________________________________
Name
__________________________________________________________________________________________________________________
Address
City/State/Zip
Phone
__________________________________________________________________________________________________________________
e-mail
address
Fax [ ]Please
send me further information about volunteering at the Children's Bereavement
Center |
