Beatrice Caffrey Youth Service, Inc.
Beatrice Caffrey Youth Service, Inc.
DONOR FORM

Please complete this form, and enclose it with your donation made to Beatrice
Caffrey Youth Service, Inc. at the address below:

( )        I would like to make a gift of $ ___________________                              

( )        This gift is in honor or occasion of:
________________________________________________________________________

( )        This gift is memory of:
________________________________________________________________________

In order for us to better serve you, please complete the following information: (print)

NAME: _________________________________________________________________

ADDRESS: _____________________________________________________________

CITY: __________________________________________________________________

STATE: ________________________________________________________________

TELEPHONE NUMBER: (Day) ___________________ (Evening) _________________

E-MAIL: _______________________________________________________________


Mail Gifts To:
Beatrice Caffrey Youth Service, Inc.                             
800 E. 78th Street
Chicago, Il 60619
Attention:  Mark N. Bouie

Please make check payable to:  
Beatrice Caffrey Youth Service, Inc., 800 E. 78th Street, Chicago, IL 60619.
All contributions are tax-deductible to the extent allowed by law.  Beatrice Caffrey
Youth Service, Inc. is a not-for-profit tax exempt organization.
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