Donation Form

First Name: Last Name: Company: Address

City

State/Province

Zip: Email:

I wish to make a tax-deductible donation of

$325

$500

$750

$1000

$2000

Other

Please allocate Dollars ($) of my donation to AWCI CARES.

Card Number Expires

3-Digit CVV

"We make a living by what we get. We make
a life by what we give." – Winston S. Churchill