You can make a real
difference for those in need!
Your tax-deductible donations can be sent to
the following address.
Water For The Nations
5897 Saratoga Drive
Crestview, FL 32536
Please print and complete
this form so we may have a record of our partners.
Name
_______________________________________________________
Company Name
(optional) ____________________________________
Address
____________________________________________________
City, State,
Zip ___________________________________________
Phone No.
(optional) _______________________________________
Email
(optional) ___________________________________________
Amount of
donation $________________________________________
Check No.
__________________________________________________
MasterCard
or Visa No. _____________________________________
Expiration
Date ____________________________________________
Do you wish
this to be a monthly donation to be charged to your credit card each
month? Yes____ No____
Signature
__________________________________________________
