Mail/Fax Donation Form
Drag Racing Association of Women
With the support of our donors, we can continue to provide
"Fast Help for Fast Friends"

Please print and use this form for contributions, memorial gifts, or for honoring you friends and family on special occasions.

Once completed, mail or fax this form with your donation to:

DRAW
PO Box 365
Danvers IL 61732-0365
Fax: (480) 820-2355
 Please accept my tax deductible contribution of $___________
 ___ Check or Money Order Enclosed (Please make payable to DRAW. )
 ___ VISA ___ MasterCard ___ American Express ___ Discover
 Card # |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
 exp. ___/___   3 digit code on back of card |__|__|__|
 Signature:
All contributions are tax-deductible as allowed by law.
Your Name: _______________________________________________
Address: __________________________________________________
City: ____________________________ State ______ Zip __________
Phone: ____________________ e-mail: ________________________
 
My gift is made in Memory/Honor of:
__________________________________________________________
For the occasion of: _________________________________________
Please notify:
Name: ____________________________________________________
Address: __________________________________________________
City: ____________________________ State ______ Zip __________
Phone: ____________________________
...We thank you for your generosity...