Your support in the form of financial assistance is vital to our mission. You can choose to automatically donate to a Wish with Wings each month, saving you both time and postage.
Complete the form below, print and return
to:
a Wish with Wings,
Inc.
I authorize my bank to pay a Wish with Wings, Inc., the amount indicated on the day marked below. This authorization will be the same as if I had personally signed a check and will remain in effect until I notify a Wish with Wings, Inc., that I wish to discontinue my gift.
Please debit my account on the
3rd or
18th day of each month beginning
(mm/dd/yyyy) in the amount
of:
$100
$50
$25
$10
Other Amount: $
(specify)
Name:
Address:
City:
State:
Zip:
Daytime Phone:
Authorized Signature:
________________________________________________
(Please include your blank voided check. No deposit slips,
please.)
Remember ... many
employers will match your gift. Please obtain a matching gift
form from your employer and send it to: Matching Gifts, a Wish with Wings, Inc.,