Beatrice Caffrey Youth Service, Inc.
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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.

