| |
Name |
|
Address |
|
City |
|
State
/ Zip |
|
Phone |
|
Email |
|
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Please charge
my donation to: ____ Visa ____ MC ____ Amex ____ Discover |
| Account
# _____________________________________________________ |
| Expiration
Date: ____/____ Now you can call in and donate over the
phone! |
| Signature
_______________________________________________________ |
Thank
You! Your donation is tax deductible. We will send you a receipt. |
|
| W2005SCS |
| I
wish to become a friend of Second Chance Society by giving a
monthly gift of $ ___________ |
Please
make checks payable to:
Second Chance Society, Inc.
1835 SE 4th AV
Fort Lauderdale, FL 33316 |
| A
COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION
MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING
1-800-435-7352 TOLL-FREE WITHIN THE STATE. REGISTRATION DOES
NOT IMPLY ENDORSEMENT. OUR FLORIDA REGISTRATION NUMBER IS CH14445. |
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