CAS > Contributions

Please print as you would like to be recognized.

Name_______________________________________________________________

Address_____________________________________________________________

City ________________________ State ___________ Zip_________

Phone Day_________________ Evening_________________

Fax_________________ 

Email Address________________________________________________________

This contribution is made: ____ In memory of      ____ In honor of

___________________________________________________________________

Please inform_________________________________________________________  

Address_____________________________________________________________

City ________________________ State ___________ Zip_________ 

Enclosed is my tax-deductible gift to Children’s Aid Society to help vulnerable children and their families in the amount of:

____ $1000

____ $750

____ $500

____ $250

____ $100

____ $50

____ $Other ________

Please bill my: _____ Mastercard _____ Visa _____ Amex

Expiration date_______________ 

                      Signature_______________________________________

Card # _________________________________________

Verification Code _____ (last three digits on the back of your card)

___ Please contact me about other ways I can help CAS.

___ Please contact me about including CAS in my will.     

___ Please contact me about having someone at CAS speak to our group.

Please mail to:

Children’s Aid Society

181 West Valley Ave., Suite 300
Birmingham AL 35209

Our credit card processor requires us to notify you that all donations made via credit or debit card are final.