Automatic Credit Card Draft
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 credit
card to pay a Wish with Wings, Inc., the amount indicated on the day
marked below.
Please charge 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:
(as it
appears on the card)
Credit Card Number:
Expiration Date:
Daytime Phone:
Date:
(mm/dd/yyyy)
Authorized Signature:
______________________________________________________
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., 917
West Sanford Street, Arlington, TX 76012.